Individual
MS. BRIANNE LEIGH DEPTUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
46 UNION AVE, CRESSKILL, NJ 07626-2125
(201) 399-7695
Mailing address
7 JOHN CIR, NORWOOD, NJ 07648-1704
(201) 647-8774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00864600
NJ
363LF0000X
Family Nurse Practitioner
343654
NY
Other
Enumeration date
10/15/2018
Last updated
02/13/2019
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