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Shannon Pentz
Student in an Organized Health Care Education/Training Program in Elizabeth, New Jersey
NPI 1346857406

Shannon Pentz is a Student in an Organized Health Care Education/Training Program based in Elizabeth, NJ. Shannon Pentz practices in Elizabeth, NJ. The NPI Number for Shannon Pentz is 1346857406 and holds a License No. (New Jersey).

The current practice location address for Shannon Pentz is 655 Westfield Ave, Elizabeth, NJ and can be reached out via phone at 908-352-8375.

Location: 655 Westfield Ave, Elizabeth, NJ, 07208-1325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346857406
Provider Name
Shannon Pentz
Credential
Provider Entity Type
Individual
Gender
Female
Address
655 Westfield Ave, Elizabeth, NJ, 07208-1325
Phone Number
908-352-8375
Fax Number
Provider Enumeration Date
09/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518051572 05 NJ
2214873464 05 NJ
institution
Provider Business Practice Location Address Details
Address
655 Westfield Ave
City
Elizabeth
State
New Jersey
Zip
07208-1325
Phone Number
908-352-8375
Fax Number
person
Provider Business Mailing Address Details
Address
655 Westfield Ave
City
Elizabeth
State
New Jersey
Zip
07208-1325
Phone Number
908-352-8375
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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