| Shelby Square, | |
|
2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | |
| (610) 834-1122 | |
| (610) 834-7525 |
| Full Name | Shelby Square |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 2250 Hickory Rd, Plymouth Meeting, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811104078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | PN259915L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Square, 3501 Bristol Oxford Valley Rd, Apt. 304, Levittown, PA 19057-2903 Ph: (215) 949-0105 | Shelby Square, 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 Ph: (610) 834-1122 |
George Wanene, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 Phone: 610-834-1122 | |
Mrs. Jennifer Lynn Kessinger, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462 Phone: 610-834-1122 | |
Ms. Stephanie Ann Sims, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 Phone: 800-879-4471 |