Individual
REBECCA SHAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 E WOODLAND AVE STE 200, SPRINGFIELD, PA 19064-3956
(610) 690-4484
Mailing address
2401 W CHELTENHAM AVE, WYNCOTE, PA 19095-2946
(215) 444-7471
(215) 695-2935
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP018048
PA
363LG0600X
Gerontology Nurse Practitioner
SP018048
PA
Other
Enumeration date
01/19/2018
Last updated
02/13/2019
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