Individual
MRS. DENISE LYNN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC, CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2 EAST, PHILADELPHIA, PA 19104-5127
(215) 615-4949
(215) 615-0829
Mailing address
3400 CIVIC CENTER BLVD, 2 EAST, PHILADELPHIA, PA 19104-5127
(215) 615-4949
(215) 615-0829
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00420800
NJ
363LA2100X
Acute Care Nurse Practitioner
SP012830
PA
Other
Enumeration date
06/14/2013
Last updated
12/30/2019
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