Individual
MS. MARY JOANNE REVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1070 BRADFORD DR, WILLIAMSTOWN, NJ 08094-2710
(609) 257-7313
Mailing address
1070 BRADFORD DR, WILLIAMSTOWN, NJ 08094-2710
(609) 257-7313
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01199000
NJ
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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