NPI 1003395716

Walter Richard Sheilds, RN

Practitioner General Practice Registered Nurse Mt Holly, NJ

Practice location

Address: 770 Woodlane Rd, Mt Holly, NJ 08060
Phone: (856) 495-4601

Registered specialties

General Practice Registered Nurse Primary

Nursing Service Providers Taxonomy 163WG0000X Licence 26NR10941600 (NJ)

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Registry record

NPI: 1003395716
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2018
Record last updated: 13 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.