Individual
SHIRA ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 CARLTON AVE S, LAKEWOOD, NJ 08701-2955
(443) 824-3333
Mailing address
130 CARLTON AVE S, LAKEWOOD, NJ 08701-2955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR23844600
NJ
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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