Individual
MS. BONNIE LEE PROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
151 WASHINGTON ST, NEWARK, NJ 07102-3026
(973) 622-3900
(973) 622-1698
Mailing address
529 RIDGE ST, NEWARK, NJ 07104-1527
(973) 485-3884
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
26NN07345900
NJ
Other
Enumeration date
03/01/2006
Last updated
07/19/2011
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