Individual
KELLI BIANCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9 VIRGINIA AVE, HADDON TOWNSHIP, NJ 08108-2316
(856) 577-9581
Mailing address
9 VIRGINIA AVE, HADDON TOWNSHIP, NJ 08108-2316
(856) 577-9581
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00593300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0504343
—
NJ
Enumeration date
02/22/2016
Last updated
02/06/2020
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