Individual
KATELYN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, CRNP
Contact information
Practice address
717 BETHLEHEM PIKE STE 300, ERDENHEIM, PA 19038-8117
(215) 914-2119
Mailing address
106 CLEARVIEW AVE, HUNTINGDON VALLEY, PA 19006-2433
(267) 679-4959
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP017879
PA
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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