Individual
LEAH RASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
290 RIVER AVE, LAKEWOOD, NJ 08701-4810
(732) 364-9696
(732) 367-0758
Mailing address
290 RIVER AVE, LAKEWOOD, NJ 08701-4810
(732) 364-9696
(732) 367-0758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2297140
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00661700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00661700
ADVANCED PRACTICE NURSE
NJ
01
—
RN2297140
BOARD OF REGISTRATION IN NURSING
MA
Enumeration date
08/19/2015
Last updated
07/21/2022
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