Individual
CLAIRE REILLY-SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, RN
Contact information
Practice address
34TH ST AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
405 S 42ND ST, APT 3B, PHILADELPHIA, PA 19104-4091
(917) 656-3906
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP012592
PA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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