Individual
MRS. BINU S SHAJIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9500 NORTHEAST AVE, PHILADELPHIA, PA 19115-3005
(215) 677-4444
Mailing address
2725 SUNFLOWER WAY, HUNTINGDON VALLEY, PA 19006-5443
(267) 253-0136
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014914
PA
363LA2200X
Adult Health Nurse Practitioner
SP007508
PA
363LF0000X
Family Nurse Practitioner
SP020287
PA
Other
Enumeration date
03/17/2010
Last updated
05/14/2019
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