Individual
HEATHER SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, RN
Contact information
Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
(610) 272-5655
Mailing address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
(610) 272-5655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN629178
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP022473
PA
Other
Enumeration date
08/15/2012
Last updated
01/16/2023
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