Individual
MARY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(973) 563-3368
Mailing address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(973) 563-3368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00561400
NJ
363LC1500X
Community Health Nurse Practitioner
26NJ00561400
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00561400
NJ
363LF0000X
Family Nurse Practitioner
F339578-1
NY
363LP2300X
Primary Care Nurse Practitioner
26NJ00561400
NJ
Other
Enumeration date
07/06/2015
Last updated
11/11/2016
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