Individual
SHANNON E BROPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(973) 971-5595
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-5595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00105000
NJ
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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