Healthcare Provider Details

I. General information

NPI: 1700232881
Provider Name (Legal Business Name): PATRICIA SCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA SIMMONS

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CLEMENTS BRIDGE RD
BARRINGTON NJ
08007-1814
US

IV. Provider business mailing address

600 CLEMENTS BRIDGE RD
BARRINGTON NJ
08007-1814
US

V. Phone/Fax

Practice location:
  • Phone: 856-547-8000
  • Fax:
Mailing address:
  • Phone: 856-547-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN614125
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0038760
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016562
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000936
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: