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Individual

SHANNON LYNN GINGERELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.N.-C

Contact information

Practice address
11 SADDLE RD, CEDAR KNOLLS, NJ 07927-1901
(973) 267-2122
(973) 267-4434
Mailing address
11 SADDLE RD, CEDAR KNOLLS, NJ 07927-1901
(973) 267-2122

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00131500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ00131500
ADV. NURSE PRAC. LICENSE
NJ
01
26NR10613300
REGISTERED NURSE LICENSE
NJ
Enumeration date
07/02/2007
Last updated
11/10/2008
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