Individual
NANCY SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 615-5858
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011235
PA
Other
Enumeration date
02/12/2011
Last updated
08/07/2014
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