Individual
SHANNON LYNN RENITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2 CAPITAL WAY, SUITE 356, PENNINGTON, NJ 08534-2521
(609) 537-6000
(609) 537-6002
Mailing address
2 CAPITAL WAY STE 356, PENNINGTON, NJ 08534-2521
(609) 537-6000
(609) 537-6002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011347
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409715
—
NJ
Enumeration date
01/17/2014
Last updated
04/27/2021
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