Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTISE PARKER
Active Sole ProprietorSHANTISE PARKER is a Prosthetic/Orthotic Supplier healthcare provider located in MAPLEWOOD, New Jersey. NPI 1881458792 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · MAPLEWOOD, NJ
Registration Details
- NPI Number
- 1881458792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 12, 2024 (2.5223011855845 yrs)
- Last Updated
- Feb 12, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2040 MILLBURN AVE STE 305MAPLEWOOD, NJ, 070403716Browse NJ providers · Browse ZIP 07040
- Phone
- 9739013640
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.