Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00436400 | NJ |
NPI | 1023455599 |
---|---|
Provider Name | Catherine Elizabeth Shaltis |
First Address | Hamilton, NJ 08620-1202 |
Second Address | Pennington, NJ 08534-2521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2013 |
Last Update Date | 26/04/2021 |