Individual
MARIE ROSE DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
97 THOMAS ST, BLOOMFIELD, NJ 07003-2439
(973) 342-6334
Mailing address
97 THOMAS ST, BLOOMFIELD, NJ 07003-2439
(973) 342-6334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO12100700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01333600
NJ
Other
Enumeration date
06/03/2022
Last updated
10/20/2022
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