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Individual

CLARA E HIBBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., A.P.N.

Contact information

Practice address
530 NEW BRUNSWICK AVENUE, PERTH AMBOY, NJ 08861-3674
(732) 442-3700
Mailing address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-6059

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR05672200
NJ
163W00000X
Registered Nurse
305559-1
NY
363L00000X
Nurse Practitioner
Primary
26NN05672200
NJ
363LA2200X
Adult Health Nurse Practitioner
26NN05672200
NJ
363LA2200X
Adult Health Nurse Practitioner
9234404
FL

Other

Enumeration date
05/09/2006
Last updated
12/19/2012
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