Individual
KATHRYN ELIZABETH SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
725 AIRPORT RD, LAKEWOOD, NJ 08701-5968
(732) 367-4700
Mailing address
50 CHELSEA AVE UNIT 231, LONG BRANCH, NJ 07740-8176
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01357200
NJ
Other
Enumeration date
08/23/2022
Last updated
09/13/2022
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