Individual
MARYBETH CARROLL-BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
2051 BRIGGS RD, MOUNT LAUREL, NJ 08054-4608
(856) 234-3332
(856) 581-2115
Mailing address
2051 BRIGGS RD, MOUNT LAUREL, NJ 08054-4608
(856) 234-3332
(856) 581-2115
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN10005700
NJ
Other
Enumeration date
11/09/2006
Last updated
04/01/2021
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