Organization
GARDEN STATE VISITING PRACTITIONERS
Active
Organization
GARDEN STATE VISITING PRACTITIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WRIGHT APN-C (PRESIDENT)
(856) 628-4785
Entity
Organization
Contact information
Practice address
1672 MILLER AVE, WEST DEPTFORD, NJ 08086-3210
(856) 628-4785
Mailing address
1672 MILLER AVE, WEST DEPTFORD, NJ 08086-3210
(856) 628-4785
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00328900
NJ
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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