Individual
SHAUNA QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
173 BRIDGE PLZ N, FORT LEE, NJ 07024-7575
(201) 468-2065
Mailing address
173 BRIDGE PLZ N, FORT LEE, NJ 07024-7575
(201) 468-2065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011924
IL
Other
Enumeration date
11/05/2014
Last updated
07/21/2023
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