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NPI Code Detail

MEDICARE: ELIZABETH SHINN

MEDICARE: ELIZABETH SHINN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseL1-0040696DE

General Provider Information

NPI Number : 1912652892
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SHINN
Provider Business Mailing Address
First Line : 112 WOODROW AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-2562
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 E HIGHLAND AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19804-2708
Country : US
Telephone Number : 302-992-5527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2022
Last Update Date : 02/18/2022

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Directions to “ ELIZABETH SHINN ” Practice Location

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