Individual
TAMMY HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 VENTNOR AVE STE C, VENTNOR CITY, NJ 08406-2166
(609) 350-6780
Mailing address
1202 CANAL AVE, MANAHAWKIN, NJ 08050-2210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13134700
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15038900
NJ
Other
Enumeration date
11/07/2023
Last updated
07/05/2024
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