Individual
MRS. RENEE E TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(201) 923-4764
Mailing address
186 KILBURN PL, SOUTH ORANGE, NJ 07079-2154
(201) 923-4764
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00382800
NJ
Other
Enumeration date
07/12/2012
Last updated
02/21/2013
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