Doctor Name: | MRS. ANN L. MAROULIS |
NPI Number: | 1285617753 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN NP |
License Number: | 26NN04838000 |
Business Practice Address: | 2130 Highway 35 321c Sea Girt, NJ - 087501010 |
Business Phone Number: | 7329746700 |
Business Fax Number: | 7329746707 |
Mailing Address: | 2130 Highway 35, 321c SEA GIRT |
State: | NJ |
Postal Code: | 087501010 |
Phone Number: | 7329746700 |
Fax Number: | 7329746707 |
NPI Enumeration Date: | 11/29/2005 |
NPI Last Update Date: | 08/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NN04838000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |