Individual
SHANEL LAURA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B, MARLTON, NJ 08053
(856) 596-9057
(856) 596-0837
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 596-9057
(856) 596-0837
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024185092
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ15009000
NJ
Other
Enumeration date
09/23/2022
Last updated
10/08/2024
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