Doctor Name: | WANDA FOX |
NPI Number: | 1174533608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN,C |
License Number: | NN75220 |
Business Practice Address: | 1000 Salem Rd Suite B Willingboro, NJ - 080462852 |
Business Phone Number: | 6098712060 |
Business Fax Number: | 6098713535 |
Mailing Address: | 33 Bretton Way, MOUNT LAUREL |
State: | NJ |
Postal Code: | 080543134 |
Phone Number: | 6098712060 |
Fax Number: | 6098713535 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 05/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | NN75220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |