Individual
MRS. SHANNON MARY BERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
502 CENTENNIAL BLVD STE 1, VOORHEES, NJ 08043-9544
(856) 874-0790
Mailing address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3836
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR12170800
NJ
Other
Enumeration date
11/04/2010
Last updated
08/04/2011
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