Individual
SHANNON MONE EIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3615 CHESTNUT ST, PHILADELPHIA, PA 19104
(215) 662-2746
(215) 349-5648
Mailing address
3615 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
(215) 662-2746
(215) 349-5648
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP017287
PA
Other
Enumeration date
08/09/2017
Last updated
09/06/2018
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