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Individual

MRS. NICOLE WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
831 KINGS HWY, SUITE 100, WEST DEPTFORD, NJ 08096-3162
(856) 853-8730
(856) 845-7198
Mailing address
831 KINGS HWY, SUITE 100, WEST DEPTFORD, NJ 08096-3162
(856) 853-8730
(856) 845-7198

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00324200
NJ

Other

Enumeration date
04/13/2011
Last updated
05/20/2013
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