Individual
AGATHA ROSELINE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 HAMILTON HEALTH PL, HAMILTON, NJ 08690-3542
(609) 584-7900
Mailing address
76 MEADOW RUN RD, BORDENTOWN, NJ 08505-4724
(732) 991-4475
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01305400
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ01305400
NJ
Other
Enumeration date
05/25/2022
Last updated
09/04/2024
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