Individual
MS. CARMEN RACHAEL PHANEUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 SHREWSBURY AVE, RED BANK, NJ 07701-1250
(732) 212-0777
(732) 212-9030
Mailing address
211 SHREWSBURY AVE, RED BANK, NJ 07701-1250
(732) 212-0777
(732) 212-9030
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN09304500
NJ
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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