| Doctor Name: | NINA C. SHIELDS |
| NPI Number: | 1104220011 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NJ005255800 |
| Business Practice Address: | 101 Route 130 S Madison Bldg, Suite 308 Cinnaminson, NJ - 080772845 |
| Business Phone Number: | 8563895579 |
| Business Fax Number: | |
| Mailing Address: | 101 Route 130 S, Madison Bldg, Suite 308 CINNAMINSON |
| State: | NJ |
| Postal Code: | 080772845 |
| Phone Number: | 8563895579 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2014 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 26NJ005255800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |