Individual
SHIPRA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
715 DELSEA DR N, GLASSBORO, NJ 08028-1435
(856) 863-5720
Mailing address
68 GRAMERCY DR, PISCATAWAY, NJ 08854-5246
(732) 491-1700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR17357200
NJ
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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