Individual
MELISSA SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
58 AVIGNON DR, NEWARK, DE 19702-5518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0024216;
DE
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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