Individual
JENNIFER SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN552943
PA
Other
Enumeration date
10/17/2014
Last updated
05/03/2024
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