Individual
OLIVIA CELESTINE SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-2000
Mailing address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP021260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP021260
CRNP NUMBER
PA
Enumeration date
12/19/2019
Last updated
01/21/2022
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