Miss Suzett S. Shaw APN
Primary Care Nurse Practitioner in Vineland, NJ(View on Map)
Full Name
Miss Suzett Simone Shaw APN
NPI Number
1184171639
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/01/2016
Specialties
(Taxonomies)Code
363LP2300X
363LG0600X
Primary Taxonomy
Yes
No
Licenses
State
New Jersey
License Number
26NJ00645900
Contact
Information
Purpose
Mailing
Location
Address
2445 SOUTH DELSEA DRIVE
2445 S DELSEA DR
City
Vineland
Vineland
State
NJ
NJ
Postal Code
08360
08360-7000
Country
US
US
Telephone Number
(856) 334-1961
(856) 334-1961
Identifiers
Identifier
0760081
Identifier State
NJ
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
Scheduling@getclare.com
Endpoint Description
Unknown
Use
Direct
Content Type
CSV
Affiliation
Y
Endpoint Location
Clare Medical of New Jersey LLC137 High St Fl 2AMount Holly, NJ080601476US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/01/2023