Individual
SHANNON LEIGH MARKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S GODDARD BLVD, KING OF PRUSSIA, PA 19406-2922
(800) 879-2467
Mailing address
190 HIDDEN HILLS RD, MEDIA, PA 19063-5435
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP025745
PA
Other
Enumeration date
07/19/2022
Last updated
12/23/2022
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