Individual
HEENA PATEL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1871 SANTA BARBARA DR STE 1, LANCASTER, PA 17601-4144
(717) 560-1970
(717) 560-2278
Mailing address
1871 SANTA BARBARA DR STE 1, LANCASTER, PA 17601-4144
(717) 560-1970
(717) 560-2278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5008984
NC
363LF0000X
Family Nurse Practitioner
Primary
SP020171
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036356500002
—
PA
01
—
5008984
NORTH CAROLINA BOARD OF NURSING LICENSE
NC
Enumeration date
09/30/2016
Last updated
02/29/2024
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