person
Mary J Shade, NP-C
Family Nurse Practitioner in Summit, New Jersey
NPI 1760042899

Mary J Shade is a Family Nurse Practitioner based in Long Valley, NJ and is specialized in Family. Mary J Shade practices in Summit, NJ and has the professional credentials of NP-C. The NPI Number for Mary J Shade is 1760042899 and holds a License No. 26NJ00933800 (New Jersey).

The current practice location address for Mary J Shade is 99 Beauvoir Ave, Summit, NJ and can be reached out via phone at 973-903-5538.

Location: 99 Beauvoir Ave, Summit, NJ, 07853-3044
person
Provider Profile Details
NPI Number
1760042899
Provider Name
Mary J Shade
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
99 Beauvoir Ave, Summit, NJ, 07853-3044
Phone Number
973-903-5538
Fax Number
Provider Enumeration Date
06/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
99 Beauvoir Ave
City
State
Zip
07901-3533
Phone Number
973-903-5538
Fax Number
person
Provider Business Mailing Address Details
Address
99 Beauvoir Ave
City
State
Zip
07901-3533
Phone Number
973-903-5538
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
26NJ00933800 (New Jersey)
Definition
Definition to come...
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