Individual
TAMARA PHOEBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1261 ROUTE 38 STE A, HAINESPORT, NJ 08036-2702
(856) 222-1975
Mailing address
1261 ROUTE 38 STE A, HAINESPORT, NJ 08036-2702
(856) 222-1975
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00915800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00915800
STATE LICENSE
NJ
Enumeration date
04/10/2019
Last updated
06/22/2023
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