Individual
AKTA SAMIR SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
21 S. VALLEY FORGE RD., UNIT 100, LANDSALE, PA 19446
(267) 647-6400
(610) 584-5788
Mailing address
21 S. VALLEY FORGE RD., UNIT 100, LANSDALE, PA 19446
(267) 647-6400
(310) 584-5788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013594
PA
Other
Enumeration date
01/13/2014
Last updated
07/21/2022
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