Provider Demographics
NPI:1760270151
Name:SPICER, SHAE CAROLINE (MSN, APN, FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:SHAE
Middle Name:CAROLINE
Last Name:SPICER
Suffix:
Gender:
Credentials:MSN, APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E KINGS HWY UNIT 157
Mailing Address - Street 2:
Mailing Address - City:MAPLE SHADE
Mailing Address - State:NJ
Mailing Address - Zip Code:08052-3445
Mailing Address - Country:US
Mailing Address - Phone:609-694-4773
Mailing Address - Fax:
Practice Address - Street 1:1301 WHITEHORSE MERCERVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3826
Practice Address - Country:US
Practice Address - Phone:609-585-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15148200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily