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Individual

KEELY ELIZABETH ECKBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
(609) 978-0600
Mailing address
1011 ARLINGTON BLVD APT 404, ARLINGTON, VA 22209-2205
(732) 403-1989

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1030434
DC
363LF0000X
Family Nurse Practitioner
Primary
26NJ0100800
NJ

Other

Enumeration date
10/18/2019
Last updated
02/12/2020
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