Individual
TAYLOR BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 974-0003
(732) 974-0366
Mailing address
323 CORBIN CT, LAKEWOOD, NJ 08701-7456
(409) 761-0663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15263500
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ15263500
NJ
Other
Enumeration date
02/14/2025
Last updated
02/28/2025
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