MS. SHANERHA TATE CRNP WHNP-BC NPI 1124730791

NPI Information

  • NPI: 1124730791
  • Provider Name: MS. SHANERHA TATE, CRNP, WHNP-BC
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5800 WALNUT ST
    PHILADELPHIA, PA
    ZIP 19139
  • Phone: (215) 474-4444

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NPI Details

MS. Shanerha Tate, CRNP, WHNP-BC is an obstetrics and gynecology nurse practitioner in Philadelphia, PA with 3 years of experience. MS. Shanerha Tate, CRNP, WHNP-BC NPI is 1124730791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5800 WALNUT ST
PHILADELPHIA, PA
ZIP 19139-836
Phone: (215) 474-4444

The NPI 1124730791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2022 and was last updated on 12/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & GynecologySP026420PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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