Individual
MISS STEPHANIE LYNN POLPERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNPC-AG
Contact information
Practice address
567 FISCHER BLVD, TOMS RIVER, NJ 08753-6311
(732) 506-6868
Mailing address
567 FISCHER BLVD, TOMS RIVER, NJ 08753-6311
(732) 506-6868
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ01064200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01064200
NJ
363LA2200X
Adult Health Nurse Practitioner
26NR14880600
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01064200
NJ
Other
Enumeration date
10/08/2020
Last updated
04/05/2023
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