Kathleen M Croll
Nurse Practitioner, Family in Toms River, NJ. Individual provider (NPI-1).
NPI number1376175166
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1376175166
- Entity type
- Individual (NPI-1)
- Name
- Kathleen M Croll
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2020
- Certification date
- Oct 18, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ01043211 | NJ | Yes |
| 363LF0000X | Nurse Practitioner, Family | 059922-23 | NH |
Practice location
1868 Hooper Ave Ste 6Toms River, NJ 08753-8175
Phone 848-223-7120 · Fax 732-349-6919
Mailing address
1868 Hooper Ave Ste 6Toms River, NJ 08753-8175
Phone 848-223-7120 · Fax 732-349-6919
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