Individual
TARA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
400 STATE ST STE 2, PERTH AMBOY, NJ 08861-3486
(732) 442-6020
Mailing address
585 RIDGEWAY AVE, SOUTH AMBOY, NJ 08879-1045
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01475400
NJ
Other
Enumeration date
04/27/2023
Last updated
06/08/2023
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