Individual
SHIDENIES MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 MILLBURN AVE STE 101, MILLBURN, NJ 07041-1711
(973) 376-8034
Mailing address
3136 GREENBRIAR DR, EAST STROUDSBURG, PA 18301-7202
(862) 215-3530
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ6282300
NJ
Other
Enumeration date
08/15/2023
Last updated
05/02/2024
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