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NPI Code Detail

MEDICARE: DR. JU YOUNG SHIN PHD, APRN, ANP-C

MEDICARE: DR. JU YOUNG SHIN PHD, APRN, ANP-C
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
1363LA2200XAdult Health Nurse PractitionerLB0000273DE

General Provider Information

NPI Number : 1295079929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JU YOUNG SHIN PHD, APRN, ANP-C
Provider Business Mailing Address
First Line : 726 LOVEVILLE RD
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-1515
Country : US
Telephone Number : 302-235-6026
Fax Number :
Provider Business Practice Location Address
First Line : 726 LOVEVILLE RD
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-1515
Country : US
Telephone Number : 302-235-6026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 03/29/2018

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