Individual
SARA VASQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
239 HURFFVILLE CROSSKEYS RD STE 160, SEWELL, NJ 08080-4005
(856) 341-8200
Mailing address
239 HURFFVILLE CROSSKEYS RD STE 160, SEWELL, NJ 08080-4005
(856) 220-3540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14966300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0985040
—
NJ
Enumeration date
12/01/2023
Last updated
01/03/2025
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