Individual
KAREN LARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
703 E MAIN ST, MOORESTOWN, NJ 08057-3082
(856) 727-0900
(856) 231-8428
Mailing address
703 E MAIN ST, MOORESTOWN, NJ 08057-3082
(856) 727-0900
(856) 231-8428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN31365
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00180790
RAILROAD MEDICARE
NJ
Enumeration date
07/12/2005
Last updated
10/23/2007
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