Organization
NURSE PRACTITIONER PROFESSIONAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MESHELL GLASGOW MANSOR APN (OWNER)
(856) 885-4579
Entity
Organization
Contact information
Practice address
4361 ROUTE 42, BLACKWOOD, NJ 08012-1794
(856) 885-4579
(856) 728-3513
Mailing address
202 CABOT CT, DEPTFORD, NJ 08096-5114
(856) 669-8488
(856) 513-1377
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00097200
NJ
Other
Enumeration date
11/21/2008
Last updated
10/26/2021
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