-- HEIDI IRENE PROKOFIEV -- APN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1255772281- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APN
- Status
- Active
Contact & Location
- Address
- 3575 QUAKERBRIDGE RD, HAMILTON, NJ, 086191271
- Phone
- (609) 631-2839
Specialties & Taxonomies
Registered Nurse
License: NY #22658666
Nurse Practitioner, Pediatrics
Primary License: NJ #26NJ00501600
Registered Nurse
License: NJ #26NR17126100
Registered Nurse
License: PA #RN657712