Individual provider · Type 1 NPI

Laurie Moody-Tidcombe, APN

Nurse Practitioner · Egg Harbor Township, NJ

NPI number 1497941496 Active

Practice location

2500 English Creek Ave, Suite 222
Egg Harbor Township, NJ 08234-5549

Call (609) 407-2365 Map

Fax (609) 407-2364

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00143100 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497941496

Laurie Moody-Tidcombe, APN's National Provider Identifier is 1497941496, issued on Sep 24, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Egg Harbor Township, NJ. The record was last updated on Mar 3, 2008.