Individual
DANIELLE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1220 CHESTER PIKE, SHARON HILL, PA 19079-1902
(610) 586-2122
Mailing address
5 MOCCASIN TRL, MEDIA, PA 19063-4721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026701
PA
363LF0000X
Family Nurse Practitioner
SP026701
PA
Other
Enumeration date
12/06/2022
Last updated
11/19/2024
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