Individual
MRS. LISA COLE NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
608 N BROAD ST, SUITE 100, WOODBURY, NJ 08096-1794
(856) 848-1307
Mailing address
608 N BROAD ST, SUITE 100, WOODBURY, NJ 08096-1794
(856) 848-1307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00426700
NJ
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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