Individual
MISS SHANNON CONNOR JUNIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, APN
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 755-1616
(856) 755-0098
Mailing address
658 N SARATOGA DR, MOORESTOWN, NJ 08057-3834
(856) 313-3798
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01217800
NJ
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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