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Individual

SHEILA M. PENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,BC

Contact information

Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753-2400
(732) 643-2070
(732) 643-2015
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4873
(732) 643-2070
(732) 643-2015

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN169519
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN169519
GEORGIA LICENSE
GA
Enumeration date
05/04/2006
Last updated
01/22/2015
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