Individual
ANKITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16754400
NJ
163W00000X
Registered Nurse
674636
NY
163W00000X
Registered Nurse
RN702970V
PA
363L00000X
Nurse Practitioner
SP018876
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018876
PA
Other
Enumeration date
02/13/2017
Last updated
03/02/2019
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