Individual
MS. COURTNEY WUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
700 AIRPORT ROAD, LAKEWOOD, NJ 08701
(732) 458-1700
Mailing address
1500 ROUTE 88, BRICK, NJ 08724
(732) 367-4700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00659200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
08/22/2016
Last updated
08/26/2016
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