Individual
MS. KERRY SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,PCCNP
Contact information
Practice address
34TH AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
34TH AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
SP008056
PA
Other
Enumeration date
12/01/2006
Last updated
01/12/2015
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