Individual provider · Type 1 NPI

Shanerha Tate, CRNP, WHNP-BC

Obstetrics & Gynecology Nurse Practitioner · Philadelphia, PA

NPI number 1124730791 Active

Practice location

5800 Walnut St
Philadelphia, PA 19139-3836

Mailing address

504 S Lansdowne Ave Apt E7
Lansdowne, PA 19050-2427

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XSP026420 (PA)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1124730791

Shanerha Tate, CRNP, WHNP-BC's National Provider Identifier is 1124730791, issued on Dec 15, 2022. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 15, 2022.