Individual
MRS. LAUREN COURTNEY BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
989 BURNT TAVERN RD, SUITE 2, BRICK, NJ 08724-2014
(866) 389-2727
Mailing address
989 BURNT TAVERN RD, SUITE 2, BRICK, NJ 08724-2014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00460900
NJ
Other
Enumeration date
09/14/2013
Last updated
11/27/2016
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