Active NPIIndividual provider

Mrs. Tara Dibruno, MSN, CRNP

Nurse Practitioner, Family in Camden, New Jersey

NPI Number1457369191
Practice location
3 Cooper Plz Rm 104, Camden, NJ 08103-1407
Fax
—
Last updated
January 4, 2024

Tara Dibruno is a Nurse Practitioner, Family based in Camden, NJ. Tara Dibruno practices in Camden, NJ and has the professional credentials of MSN, CRNP. The NPI Number for Tara Dibruno is 1457369191 and holds a License No. SP006686B (PA). The current practice location address for Tara Dibruno is 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 and can be reached out via phone at 856-968-8695.

Provider Profile Details

NPI Number
1457369191
Provider Name
Tara Dibruno
Credential
MSN, CRNP
Provider Entity Type
Individual
Gender
Female
Address
3 Cooper Plz Rm 104, Camden, NJ 08103-1407
Phone Number
856-968-8695
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2006
Last Update Date
January 4, 2024
Certification Date
January 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Cooper Plz Rm 104
Camden, NJ 08103-1407
City
Camden
Zip
08103-1407
Phone Number
856-968-8695
Camden, NJ 08103Get directions →

Provider Business Mailing Address Details

Address
1 Federal St Ste 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
848-288-6935
Fax Number
732-790-0107

License Information

License Number (1)
SP006686B
License State (1)
PA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
SP006686B
License State (2)
PA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
26NJ00014800
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Tara Dibruno, MSN, CRNP?

The NPI number of Mrs. Tara Dibruno, MSN, CRNP is 1457369191. It was assigned on August 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tara Dibruno, MSN, CRNP?

Mrs. Tara Dibruno, MSN, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP006686B.

Where does Mrs. Tara Dibruno, MSN, CRNP practice?

The practice location is 3 Cooper Plz Rm 104, Camden, NJ 08103-1407. The office can be reached at 856-968-8695 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457369191 directly on the NPPES registry website.

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