Individual
SHELLEY J LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
224 HAMBURG TPKE, WAYNE, NJ 07470-2168
(973) 942-6900
Mailing address
7 KENWOOD CT, SADDLE BROOK, NJ 07663-4613
(917) 709-8572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15145400
NJ
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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