Renitsky, Shannon Lynn
Renitsky, Shannon Lynn is an individual health care provider with primary practice located at 2 Capital Way Suite 356, Pennington NJ 08534-2521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Renitsky, Shannon Lynn can be contacted via phone (609) 537-6000.Contact Information
Primary practice address
2 Capital Way Suite 356
Pennington NJ 08534-2521
Phone: (609) 537-6000
Fax: (609) 537-6002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP011347 | Pennsylvania |
Profile Details
| NPI number | 1215359708 |
|---|---|
| LBN Legal business name | Renitsky, Shannon Lynn |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2014 |
| Last updated | Apr 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215359708 | NPPES |
| New Jersey | MEDICAID | 0409715 |
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