| NPI | 1013759661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY ANGEL NAGLE Owner/Psych Np 609-675-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |