Provider Demographics
NPI:1891487534
Name:STRAUSS, SHELBY RAE (APN)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:RAE
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 LOCUST ST APT 201
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-7013
Mailing Address - Country:US
Mailing Address - Phone:610-207-7565
Mailing Address - Fax:
Practice Address - Street 1:900 MEDICAL CENTER DR STE 205
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2358
Practice Address - Country:US
Practice Address - Phone:856-557-5400
Practice Address - Fax:856-553-6713
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR22295400163WX0200X
NJ26NJ14890300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology