Individual
MRS. STEPHANIE M LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22 GRACE DR, OLD BRIDGE, NJ 08857-2516
(732) 679-2984
Mailing address
22 GRACE DRIVE, OLD BRIDGE, NJ 08857-2516
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
12571100
NJ
163WM0102X
Maternal Newborn Registered Nurse
Primary
12571100
NJ
163WX0002X
High-Risk Obstetric Registered Nurse
12571100
NJ
163WX0003X
Inpatient Obstetric Registered Nurse
12571100
NJ
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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