Individual
SARA MARGARET SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(800) 843-2384
Mailing address
19 WAYNE BLVD, MADISON, NJ 07940-1522
(973) 224-9252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
167755
CT
163W00000X
Registered Nurse
26NR24971800
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ14863600
NJ
Other
Enumeration date
07/20/2021
Last updated
09/04/2024
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