Individual
MAGELENDE S PAVIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGNP-NC
Contact information
Practice address
2848 S DELSEA DR STE 2C, VINELAND, NJ 08360-7042
(856) 794-9090
Mailing address
34 AVIARY RD, WEST DEPTFORD, NJ 08086-3838
(908) 451-5521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01289300
NJ
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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