Individual
SHANNON L SANDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 COOPER PLZ RM 318, CAMDEN, NJ 08103-1438
(856) 342-2683
(856) 968-8255
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17307100
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01365000
NJ
Other
Enumeration date
09/06/2022
Last updated
12/21/2022
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