# GARDEN STATE VISITING PRACTITIONERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669743332
- **Authorized official:** DIANE WRIGHT APN-C (PRESIDENT)
- **Authorized official phone:** (856) 628-4785

## Contact information

- **Practice address:** 1672 MILLER AVE, WEST DEPTFORD, NJ 08086-3210
- **Practice address phone:** (856) 628-4785
- **Mailing address:** 1672 MILLER AVE, WEST DEPTFORD, NJ 08086-3210
- **Mailing address phone:** (856) 628-4785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00328900 | NJ | Yes |

## Other

- **Enumeration date:** 01/26/2012
- **Last updated:** 01/26/2012