Individual
AMIRAH J BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1804 FOREST VIEW DR, AVENEL, NJ 07001-2173
(908) 361-3224
Mailing address
1804 FOREST VIEW DR, AVENEL, NJ 07001-2173
(908) 361-3224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01206100
NJ
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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