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Contact Information

CHANTELL DESHIELDS, NP
2 PENN BLVD STE 103
PHILADELPHIA, PA19144-1402
 Phone: 215-842-0406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHANTELL DESHIELDS · (Female)

NPI Number 1649802711
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 02/06/2020
Last updated 02/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP020342
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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