Organization · Type 2 NPI
Prudent Clinical Providers Corp
Gerontology Nurse Practitioner · Lindenwold, NJ
NPI number
1447880810
Active
Practice location
2411 Greenwood Dr
Lindenwold, NJ 08021-6787
Other practice locations
- 2411 Greenwood Dr, Lindenwold, NJ 08021-6787 · (856) 842-6677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1447880810
Prudent Clinical Providers Corp's National Provider Identifier is 1447880810, issued on Jan 24, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lindenwold, NJ. The record was last updated on Mar 4, 2020.