Individual
MRS. DIANNA M SHINKAROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
100 CENTURY PKWY STE 140, MOUNT LAUREL, NJ 08054-1149
(856) 380-2400
(856) 234-7870
Mailing address
100 CENTURY PKWY STE 140, MOUNT LAUREL, NJ 08054-1149
(856) 380-2400
(856) 234-7870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00828500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0658766
—
NJ
Enumeration date
06/15/2018
Last updated
06/25/2024
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