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MRS. DELORES ELIZABETH VANDEGRIFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.N.

Contact information

Practice address
212 W ROUTE 38 STE 400, MOORESTOWN, NJ 08057-3259
(856) 235-0264
(856) 235-0463
Mailing address
212 W ROUTE 38 STE 400, MOORESTOWN, NJ 08057-3259
(856) 235-0264
(856) 235-4635

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00766000
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00766000
NJ

Other

Enumeration date
04/24/2013
Last updated
10/20/2017
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