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Individual

HEIDI IRENE PROKOFIEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1271
(609) 631-2839
Mailing address
3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1271
(609) 631-2839

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22658666
NY
163W00000X
Registered Nurse
26NR17126100
NJ
163W00000X
Registered Nurse
RN657712
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00501600
NJ

Other

Enumeration date
07/06/2013
Last updated
05/01/2017
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