Individual
MRS. SHAWNE SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
468 PARISH DR, WAYNE, NJ 07470
(973) 305-8300
Mailing address
37 LOYOLA PL, OAKLAND, NJ 07436-3506
(201) 677-0970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00528100
NJ
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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