Individual
BRETTE KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
239 HURFFVILLE CROSSKEYS RD STE 160, SEWELL, NJ 08080-4005
(856) 341-8200
(856) 341-8215
Mailing address
2271 HIGHWAY 33, STE 103, HAMILTON, NJ 08690-1749
(609) 890-4080
(609) 890-4090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00716900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601543
—
NJ
Enumeration date
03/17/2017
Last updated
11/13/2024
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