Individual
DR. SHAINA NISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
8100 ROOSEVELT BLVD, SUITE 202, PHILADELPHIA, PA 19152-2900
(215) 535-5598
Mailing address
719 HUNTERS LN, MOUNT LAUREL, NJ 08054-2814
(609) 320-3332
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
0021291
NY
231H00000X
Audiologist
41YA00073700
NJ
231HA2400X
Assistive Technology Practitioner Audiologist
AT006107
PA
231HA2500X
Assistive Technology Supplier Audiologist
AT006107
PA
237600000X
Audiologist-Hearing Aid Fitter
25MG00114200
NJ
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT006107
PA
Other
Enumeration date
06/07/2007
Last updated
04/27/2011
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