Individual provider · Type 1 NPI
Lara Mitchell Bauducco, APN
Psychiatric/Mental Health Nurse Practitioner · Mount Holly, NJ
NPI number
1750194502
Active
Practice location
100 Ashurst Ln Ste 115
Mount Holly, NJ 08060-1202
Mailing address
1328 Shelly Ln
Cherry Hill, NJ 08034-3119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ15250200 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1750194502
Lara Mitchell Bauducco, APN's National Provider Identifier is 1750194502, issued on Jan 27, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mount Holly, NJ. The record was last updated on Jan 27, 2025.