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Individual

DIANE BREVET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, APN, C

Contact information

Practice address
125 PATERSON ST, ROOM 6120, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7799
(732) 235-7035
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO05410100
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
26NN05410100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6747604
NJ
Enumeration date
01/03/2008
Last updated
01/23/2012
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