Individual
NINA MARIE SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1100 E NORTHAMPTON ST, LAUREL RUN, PA 18706-9520
(570) 823-1171
Mailing address
43 S MAIN ST, ASHLEY, PA 18706-1506
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP018840
PA
Other
Enumeration date
08/14/2018
Last updated
03/07/2022
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