Individual
ANNA MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4251
Mailing address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18842200
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00790800
NJ
Other
Enumeration date
06/29/2017
Last updated
08/28/2020
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