Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Dawn Shandel Fantasia, CRNP

Individual provider Nurse Practitioner · NPI 1578809240

MS. Dawn Shandel Fantasia, CRNP is a Nurse Practitioner in Camden, New Jersey. Qualified in 2011, 15 years ago. Practices with Cooper University Trauma Physicians, PC, a 54-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Licensed in
NJ
In the registry since
2012
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1 Cooper Plz Dept OF Surgery
Camden, NJ 08103-1461
Phone: (856) 342-2143
Fax: (856) 342-3299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00450100 (NJ)

Record details

NPI number1578809240
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 27, 2012
Last updated in NPPESApril 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Cooper University Trauma Physicians, Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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