Individual
JULIE L SHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
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
Update your record
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