Individual
PHYLLIS GLENN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
610 PEMBERTON BROWNS MILLS RD, PEMBERTON, NJ 08068-1537
(609) 726-4031
(609) 894-8964
Mailing address
271 GROVE AVE, BUILDING E, VERONA, NJ 07044-1730
(973) 571-9550
(973) 571-9747
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN06346100
NJ
Other
Enumeration date
02/25/2010
Last updated
12/12/2014
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