Individual
EKATHERINA SHAPORTOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3206 SHORT LN, BENTON, PA 17814-7934
(610) 906-7202
Mailing address
3206 SHORT LN, BENTON, PA 17814-7934
(610) 906-7202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN700972
PA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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