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Courtney Destefano
Family Nurse Practitioner in Vineland, New Jersey
NPI 1780219410

Courtney Destefano is a Family Nurse Practitioner based in Philadelphia, NJ and is specialized in Family. Courtney Destefano practices in Vineland, NJ. The NPI Number for Courtney Destefano is 1780219410 and holds a License No. 26NJ01015900 (New Jersey).

The current practice location address for Courtney Destefano is 994 W Sherman Ave Bldg 2, Vineland, NJ and can be reached out via phone at 631-534-7246.

Location: 994 W Sherman Ave Bldg 2, Vineland, NJ, 19107-5147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780219410
Provider Name
Courtney Destefano
Credential
Provider Entity Type
Individual
Gender
Female
Address
994 W Sherman Ave Bldg 2, Vineland, NJ, 19107-5147
Phone Number
631-534-7246
Fax Number
Provider Enumeration Date
03/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
994 W Sherman Ave Bldg 2
City
Vineland
State
New Jersey
Zip
08360-6937
Phone Number
631-534-7246
Fax Number
person
Provider Business Mailing Address Details
Address
994 W Sherman Ave Bldg 2
City
Vineland
State
New Jersey
Zip
08360-6937
Phone Number
631-534-7246
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26NJ01015900 (New Jersey)
Definition
Definition to come...
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