Individual provider · Type 1 NPI

Dawn Shandel Fantasia, CRNP

Nurse Practitioner · Camden, NJ

NPI number 1578809240 Active

Practice location

1 Cooper Plz, Dept. Of Surgery
Camden, NJ 08103-1461

Fax (856) 342-3299

Mailing address

3 Cooper Plz, Suite 502
Camden, NJ 08103-1438

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00450100 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1578809240

Dawn Shandel Fantasia, CRNP's National Provider Identifier is 1578809240, issued on Dec 27, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Camden, NJ. The record was last updated on Apr 25, 2016.