Individual
MS. ROSE B. SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S 11TH ST, ROOM 1900 GIBBON, PHILADELPHIA, PA 19107-4824
(215) 955-8408
(215) 955-8966
Mailing address
111 S 11TH ST RM 5480G, PHILADELPHIA, PA 19107-4824
(215) 955-8408
(215) 503-7784
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
TP004716P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103144230
—
PA
Enumeration date
04/15/2008
Last updated
06/16/2020
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