Individual
MS. SHANERHA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, WHNP-BC
Contact information
Practice address
5800 WALNUT ST, PHILADELPHIA, PA 19139-3836
(215) 474-4444
Mailing address
504 S LANSDOWNE AVE APT E7, LANSDOWNE, PA 19050-2427
(267) 368-0063
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP026420
PA
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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