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Individual

SHANNEL KANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC, MSN

Contact information

Practice address
145 KINGSBERRY DR, SOMERSET, NJ 08873-4310
(732) 533-9048
Mailing address
145 KINGSBERRY DR, SOMERSET, NJ 08873-4310
(732) 533-9048

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
26NJ15038100
NJ
363L00000X
Nurse Practitioner
Primary
26NJ15038100
NJ

Other

Enumeration date
03/25/2024
Last updated
01/13/2025
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