MEDICARE: SHENIA HOWARD CRNP

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
1	363LF0000X	Family Nurse Practitioner	SP027195	PA

General Provider Information

NPI Number	:	1477252757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHENIA HOWARD CRNP

Provider Business Mailing Address
First Line	:	317 BROADWAY
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1253
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 BROADWAY
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1253
Country	:	US
Telephone Number	:	833-377-8474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	06/10/2026

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