Individual
REBECCA (BECKY) GRACE THURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN,C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4785
(551) 996-5697
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00136500
NJ
363LA2200X
Adult Health Nurse Practitioner
F304993
NY
Other
Enumeration date
12/11/2009
Last updated
12/07/2015
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