Individual
MRS. ANA SOFIA PROSPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(800) 826-6737
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00684000
NJ
363L00000X
Nurse Practitioner
SPO12640
PA
Other
Enumeration date
12/21/2012
Last updated
05/22/2019
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