Individual
REBECCA HOPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN,C
Contact information
Practice address
445 BRICK BLVD, SUITE 206, BRICK, NJ 08723-6048
(732) 903-7186
(732) 903-7187
Mailing address
445 BRICK BLVD, SUITE 206, BRICK, NJ 08723-6048
(732) 903-7186
(732) 903-7187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11121600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00233300
NJ
Other
Enumeration date
11/02/2006
Last updated
08/24/2009
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