Individual provider · Type 1 NPI

Emily Takhtarov

Adult Health Nurse Practitioner · Marlton, NJ

NPI number 1659119220 Active

Practice location

141 Route 70 E Ste B
Marlton, NJ 08053-1855

Fax (856) 596-0837

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NJ15114400 (NJ)
Registered Nurse 163W00000X26NR26058900 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1659119220

Emily Takhtarov's National Provider Identifier is 1659119220, issued on Jul 18, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Marlton, NJ. The record was last updated on Nov 11, 2024.