Provider Demographics
NPI:1841429255
Name:CAREATTI, SHANA ELIZABETH (RN)
Entity Type:Individual
Prefix:MS
First Name:SHANA
Middle Name:ELIZABETH
Last Name:CAREATTI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:SHANA
Other - Middle Name:ELIZABETH
Other - Last Name:SANDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:306 LARCH AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08091-9173
Mailing Address - Country:US
Mailing Address - Phone:732-996-4273
Mailing Address - Fax:
Practice Address - Street 1:2500 MCCLELLAN AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-4613
Practice Address - Country:US
Practice Address - Phone:856-361-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR12983500163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult