Individual
KELLI BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
19 DAVIS AVE, NEPTUNE, NJ 07753-4488
(732) 775-5500
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ15145900
NJ
Other
Enumeration date
09/11/2024
Last updated
12/03/2024
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