Female

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

Provider Address

Other Primary Care Nurse Practitioner in Vineland, New Jersey:

Female

Salamatu Sanni

Vineland, NJ

Specialty: Primary Care Nurse Practitioner (Primary)