Individual
NICOLE OMEHLA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1945 NJ-33, NEPTUNE, NJ 07753
(732) 897-0200
Mailing address
21308 CORNERSTONE DR, YARDLEY, PA 19067-7912
(302) 373-0927
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01203200
NJ
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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