Individual
KERRIANNE THERESA REUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(609) 290-6454
Mailing address
506 TEAKWOOD DR, LANOKA HARBOR, NJ 08734-2839
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR17491500
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01047200
NJ
Other
Enumeration date
06/11/2020
Last updated
09/02/2020
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