Individual
MRS. LAURA MAE VAN FOSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
435 HURFFVILLE- CROSS KEYS RD, SEWELL, NJ 08080
(856) 582-2500
Mailing address
6 ALYSE CT, BARRINGTON, NJ 08007-1663
(856) 796-3234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26RN16127800
NJ
367A00000X
Advanced Practice Midwife
25ME00085100
NJ
367A00000X
Advanced Practice Midwife
Primary
25ME00085101
NJ
Other
Enumeration date
12/07/2023
Last updated
12/29/2023
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