Individual
MRS. ALEXIS COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
264 BROAD ST, RED BANK, NJ 07701-2003
(732) 842-3737
Mailing address
264 BROAD ST, RED BANK, NJ 07701-2003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00769200
NJ
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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