Individual
ELLEN GRACE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNC
Contact information
Practice address
425 BANK ST, BRIDGETON, NJ 08302-1303
(856) 455-8316
Mailing address
425 BANK ST, BRIDGETON, NJ 08302-1303
(856) 455-8316
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
26NJ00164400
NJ
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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