Individual
MRS. LISA ANN SHOTYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2600 GLASGOW AVE, NEWARK, DE 19702-4773
(302) 836-8350
(302) 836-1906
Mailing address
21 N KINGSCROFT DR, BEAR, DE 19701-1423
(302) 836-8350
(302) 836-1906
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LB-0000288
DE
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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