Provider Demographics
NPI:1255030953
Name:HAMPTON, SHONTEI S (CD)
Entity type:Individual
Prefix:
First Name:SHONTEI
Middle Name:S
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 WESTWOOD AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-5578
Mailing Address - Country:US
Mailing Address - Phone:732-682-7356
Mailing Address - Fax:
Practice Address - Street 1:373 WESTWOOD AVE APT 2
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-5578
Practice Address - Country:US
Practice Address - Phone:732-682-7356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula