Individual
MRS. VEREEN GOULDBURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1161 KATHERINE ST, TEANECK, NJ 07666-4811
(201) 249-9407
Mailing address
1161 KATHERINE ST, TEANECK, NJ 07666-4811
(201) 249-9407
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01327000
NJ
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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