Individual
JOANNE LEADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1 EAGLE NEST RD, COLTS NECK, NJ 07722-1062
(917) 816-6649
Mailing address
1 EAGLE NEST RD, COLTS NECK, NJ 07722-1062
(917) 816-6649
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
26NJ01476400
NJ
Other
Enumeration date
01/02/2023
Last updated
05/01/2024
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