Individual
MRS. TARA DIBRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
3 COOPER PLZ RM 104, CAMDEN, NJ 08103-1407
(856) 968-8695
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP006686B
PA
363LF0000X
Family Nurse Practitioner
Primary
26NJ00014800
NJ
363LF0000X
Family Nurse Practitioner
SP006686B
PA
Other
Enumeration date
08/04/2006
Last updated
01/04/2024
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