Shiree Southerland
Registered Nurse in Plymouth Meeting, PA. Individual provider (NPI-1).
NPI number1760618656
StatusActive
Last updated in NPPESJun 5, 2009
Details
- NPI
- 1760618656
- Entity type
- Individual (NPI-1)
- Name
- Shiree Southerland
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2009
- Last updated
- Jun 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R170628 | MD | Yes |
Practice location
2250 Hickory RdPlymouth Meeting, PA 19462-1047
Phone 800-879-4471
Mailing address
3913 Friar StPikesville, MD 21208-2355
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