Individual
LISHAI TIERRA CREAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-C
Contact information
Practice address
318 CHRIS GAUPP DR, GALLOWAY, NJ 08205-4460
(609) 404-9900
(609) 404-3653
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01364500
NJ
Other
Enumeration date
09/08/2022
Last updated
11/28/2022
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