Individual
SHANTY NELKE
Active
Individual
SHANTY NELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN700738
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP026047
PA
Other
Enumeration date
07/13/2022
Last updated
08/03/2022
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