Individual
KRISTIN DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
401 YOUNG AVE STE 245B, MOORESTOWN, NJ 08057-3132
(856) 727-0900
(856) 231-8428
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00976100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0772631
—
NJ
Enumeration date
12/04/2019
Last updated
02/19/2025
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