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Individual

JULIE L SHUBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
7500 CENTRAL AVE STE 205, PHILADELPHIA, PA 19111-2432
(215) 728-7711
(215) 725-2795
Mailing address
306 PEMBROOK AVE, MOORESTOWN, NJ 08057-3413
(856) 986-3225

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ01007300
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP021766
PA

Other

Enumeration date
03/19/2021
Last updated
03/19/2021
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