Individual
HEATHER ELAINE SHUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
205 E LAUREL BLVD, POTTSVILLE, PA 17901-2534
(570) 624-4743
(570) 501-7028
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020686
PA
Other
Enumeration date
10/27/2019
Last updated
12/09/2024
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