Search › New Jersey › 104100000X
Shannon Itjen
NPI 1770291411 · on the registry since 2022
Practice
- Address
- 611 Us Highway 46 W Ste 100
Hasbrouck Heights, NJ 07604 - Phone
- (201) 478-4175
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey