AMANDA STACKHOUSE

NEW BRUNSWICK, NJ
NPI1801644505
Former NameAMANDA LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ15002000)
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
AMANDA STACKHOUSE APN
254 EASTON AVE
NEW BRUNSWICK, NJ 08901-1766
Phone number: 732-745-8600
Mailing Address
AMANDA STACKHOUSE APN
6 GAIL RD
HILLSBOROUGH, NJ 08844-4207
Phone number: 908-392-4475
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