Individual provider · Type 1 NPI
Dipti Shah
Family Nurse Practitioner · Clementon, NJ
NPI number
1336919166
Active
Practice location
1111 Huntingdon Mews
Clementon, NJ 08021-5649
Mailing address
501 Fellowship Rd
Mount Laurel, NJ 08054-3419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F10230389 (NJ) |
Family Nurse Practitioner: Definition to come...
About NPI 1336919166
Dipti Shah's National Provider Identifier is 1336919166, issued on Jan 3, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clementon, NJ. The record was last updated on Jan 31, 2024.