Individual provider · Type 1 NPI

Stefanie Shore, APN

Nurse Practitioner · Wayne, NJ

NPI number 1649964446 Active

Practice location

246 Hamburg Tpke Ste 207
Wayne, NJ 07470-2160

Fax (973) 653-3365

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ14864500 (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 1649964446

Stefanie Shore, APN's National Provider Identifier is 1649964446, issued on Jun 5, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wayne, NJ. The record was last updated on Jun 5, 2023.