Individual
DENA ELIZABETH DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN HNB-BC
Contact information
Practice address
382 W 9TH ST STE 8, SHIP BOTTOM, NJ 08008-4634
(609) 698-1700
Mailing address
9 POND HOLLOW LN, WEST CREEK, NJ 08092-3143
(609) 833-1269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR16692700
NJ
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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