Individual
ELIZABETH ANN PRUDENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
241 WESTFIELD AVE, CLARK, NJ 07066-1547
(866) 389-2727
Mailing address
1331 GREENWAY BLVD, ROSELLE, NJ 07203-3042
(201) 702-6896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15224500
NJ
Other
Enumeration date
11/29/2024
Last updated
12/16/2024
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