Individual
SANDRA LYNNE TATULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 CORLIES AVE, NEPTUNE, NJ 07753-4859
(732) 775-5500
Mailing address
24 RED MAPLE DR, BRICK, NJ 08724-2088
(732) 232-0699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00755900
NJ
Other
Enumeration date
08/28/2017
Last updated
11/14/2022
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