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General NPI Number Information
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NPI Number | 1962111245
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Entity Type | Individual
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Provider Name | SHELLEY BROOKE WIGLER CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 638 NEWTOWN YARDLEY RD STE 2E
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City | NEWTOWN
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State | PA
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Zip | 18940-1738
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Country | US
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Telephone | 215-968-1616
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Fax | 215-860-1976
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Provider Business Mailing Address
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Address Line | 100 PARKSIDE DR
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City | NEW HOPE
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State | PA
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Zip | 18938-1093
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Country | US
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Telephone | 215-870-5480
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP026617
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License Number State | PA
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