Individual
DANIELLE LISTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23 MAIN ST STE D1, HOLMDEL, NJ 07733-2136
(866) 815-6799
Mailing address
88 ROOSEVELT AVE APT 204, CARTERET, NJ 07008-2584
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01476000
NJ
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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