Individual
GRACE ANDRADA DANGANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
141 E. ROUTE 70, RENAISSANCE SQUARE, MARLTON, NJ 08053-1855
(856) 596-9057
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-1400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ15133400
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
26NJ15133400
NJ
Other
Enumeration date
09/18/2024
Last updated
10/16/2024
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