Individual
MS. ANITA LYNN HERGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, APN-C
Contact information
Practice address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
(609) 971-3500
Mailing address
137 ATLANTIC CITY BLVD STE 1, BEACHWOOD, NJ 08722-2935
(609) 971-3500
(732) 244-0046
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
26NJ00910600
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00910600
NJ
Other
Enumeration date
03/19/2019
Last updated
08/10/2024
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