Individual
MRS. SHANNON LEE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
326 PENN ST, CAMDEN, NJ 08102-1410
(856) 225-6005
Mailing address
RUTGERS UNIVERSITY, 326 PENN STREET, CAMDEN, NJ 08102
(856) 225-6005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00284100
NJ
Other
Enumeration date
03/18/2010
Last updated
11/30/2011
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