Provider Demographics
NPI:1184942443
Name:SHAID, ELIZABETH C (RN,MSN,CRNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:C
Last Name:SHAID
Suffix:
Gender:F
Credentials:RN,MSN,CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S GULPH RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3101
Mailing Address - Country:US
Mailing Address - Phone:610-382-5900
Mailing Address - Fax:610-382-5918
Practice Address - Street 1:211 S GULPH RD
Practice Address - Street 2:SUITE 200
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3101
Practice Address - Country:US
Practice Address - Phone:610-382-5900
Practice Address - Fax:610-382-5918
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN280904L163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WU0100XNursing Service ProvidersRegistered NurseUrology