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Individual

MEGAN ANNE CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084
(856) 566-6843
(856) 566-6419
Mailing address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-6419

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00745800
NJ
363LF0000X
Family Nurse Practitioner
26NJ00745800
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00745800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0628565
NJ
01
672602
MEDICARE
NJ
Enumeration date
10/13/2017
Last updated
08/02/2018
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