Individual
MISS STEPHANIE ANNE LOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
5 SUMMIT AVE, HACKENSACK, NJ 07601-8503
(551) 996-2900
Mailing address
45 ELM ST, ENGLEWOOD CLIFFS, NJ 07632-1509
(201) 575-2245
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ14868000
NJ
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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