Provider Demographics
NPI:1528537602
Name:DEUTSCH, SHAWN POLICARPO (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHAWN
Middle Name:POLICARPO
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 TOWNSHIP LINE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5564
Mailing Address - Country:US
Mailing Address - Phone:215-860-0775
Mailing Address - Fax:215-860-0429
Practice Address - Street 1:777 TOWNSHIP LINE RD STE 200
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5564
Practice Address - Country:US
Practice Address - Phone:215-860-0775
Practice Address - Fax:215-860-0429
Is Sole Proprietor?:No
Enumeration Date:2018-11-18
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN599887163WM0705X
PASP019799363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical