QUEEN K AGGREY


Address: 1308 Wharton Rd, Mount Laurel, NJ 08054-5296
Phone: 6094569638

QUEEN K AGGREY (NPI# 1073124327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073124327
Entity Type Individual
Full Name QUEEN K AGGREY
Credential APN
Practice Address 1308 Wharton Rd
Mount Laurel
NJ 08054-5296
Practice Telephone 6094569638
Mailing Telephone 6094569638
Enumeration Date 2020-08-11
Last Update Date 2020-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
26NJ01025400 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1308 WHARTON RD
City MOUNT LAUREL
State NJ
Zip Code 08054-5296

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063870970 Megan Canavan Nurse Practitioner 3201 Marne Hwy, Mount Laurel, NJ 08054-9716 2016-02-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1366049058 Sedrina Taina Austin Nurse Practitioner 82 Poplar Ave, Hackensack, NJ 07601-4707 2020-10-06
1952912768 Holly M Gonzalez Nurse Practitioner 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 2020-08-14
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Competitor

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City MOUNT LAUREL
Zip Code 08054

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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