Individual
AMBIANCE ADERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
127 N. BROAD ST., WOODBURY, NJ 08096
(856) 845-5344
(856) 537-7686
Mailing address
6350 GREENE ST APT 515, PHILADELPHIA, PA 19144
(786) 423-2855
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP017206
PA
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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