Individual
LORETTA OGUONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 ALEXANDER RD, PRINCETON, NJ 08540-6303
(609) 452-2088
(609) 452-0627
Mailing address
819 ALEXANDER RD, PRINCETON, NJ 08540-6303
(732) 397-2893
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00462600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528497641
—
NJ
Enumeration date
11/08/2013
Last updated
11/28/2013
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