Individual
ABIGAIL SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 CHURCH STREET, PORT NORRIS, NJ 08349
(609) 501-3832
Mailing address
PO BOX 177, DIVIDING CREEK, NJ 08315-0177
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NR24203200
NJ
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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