Individual
CONSTANCE M COURDUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
375 N. MAIN STREET B4, WILLIAMSTOWN, NJ 08094-2702
(856) 526-9652
Mailing address
375 N. MAIN STREET B4, WILLIAMSTOWN, NJ 08094-3012
(856) 526-9652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN686041
PA
363L00000X
Nurse Practitioner
26NJ01429200
NJ
363L00000X
Nurse Practitioner
Primary
SP027007
PA
Other
Enumeration date
11/17/2022
Last updated
02/17/2024
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