Healthcare Provider Details

I. General information

NPI: 1437061892
Provider Name (Legal Business Name): SHAHERA FLORINE WASHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 ROLLING HILLS DR
WESTAMPTON NJ
08060-5731
US

IV. Provider business mailing address

71 ROLLING HILLS DR
WESTAMPTON NJ
08060-5731
US

V. Phone/Fax

Practice location:
  • Phone: 609-920-4428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15601200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: