Individual
MARA NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
765 ROUTE 70 E BLDG A100, MARLTON, NJ 08053-2341
(856) 983-3900
(856) 797-4785
Mailing address
765 ROUTE 70 E BLDG A100, MARLTON, NJ 08053-2341
(856) 983-3900
(856) 797-4785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20397900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01452100
NJ
Other
Enumeration date
02/24/2023
Last updated
03/07/2023
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