Individual provider · NPI-1

Shante Hill

Community Health Worker · Newark, NJ

NPI number1073343034
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1073343034
Entity type
Individual (NPI-1)
Name
Shante Hill
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2024
Certification date
Aug 5, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

603 Elizabeth Ave
Newark, NJ 07112-2403

Phone 862-444-1477

Mailing address

603 Elizabeth Ave Apt 4h
Newark, NJ 07112-2423

Phone 862-444-1477

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