Individual
LAURA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
100 TORMEE DR, TINTON FALLS, NJ 07712-7502
(732) 202-8071
(732) 922-6026
Mailing address
12 CLOVERDALE CIR, TINTON FALLS, NJ 07724-3106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15416300
NJ
Other
Enumeration date
10/27/2025
Last updated
12/03/2025
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