Individual
MS. DAWN SHANDEL FANTASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 COOPER PLZ, DEPT. OF SURGERY, CAMDEN, NJ 08103-1461
(856) 342-2143
(856) 342-3299
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 356-4935
(856) 356-4879
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00450100
NJ
Other
Enumeration date
12/27/2012
Last updated
04/25/2016
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