Most Relevant Information
Provider Data
| NPI Number: | 1003395716 |
| Provider Name: | WALTER RICHARD SHEILDS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 26NR10941600 |
Most Important Dates
| Enumeration Date: | 08/13/2018 |
| Last Updated: | 08/13/2018 |
Provider Practice Location
770 WOODLANE RD
MT HOLLY
NJ
08060
Practice Location Phone/Fax
| Phone: | 8564954601 |
| Fax: |
Provider Mailing Location
770 WOODLANE RD
MT HOLLY
NJ
08060
Provider Mailing Phone/Fax
| Phone: | 8564954601 |
| Fax: |