Breanna Leigh Doenitz, ARNP
Nurse Practitioner, Pediatrics in Marlton, NJ. Individual provider (NPI-1).
NPI number1912557372
StatusActive
Last updated in NPPESFeb 24, 2023
Details
- NPI
- 1912557372
- Entity type
- Individual (NPI-1)
- Name
- Breanna Leigh Doenitz
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2019
- Certification date
- Feb 22, 2023
- Last updated
- Feb 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 26NJ01231600 | NJ | Yes |
| 163W00000X | Registered Nurse | 140609 | KS | |
| 363LP0200X | Nurse Practitioner, Pediatrics | TMP-158957 | KS |
Other names
- Breanna Leigh Roundtree (Former Name)
Practice location
301 Old Marlton Pike West Suite 1Marlton, NJ 08053
Phone 856-988-9101
Mailing address
401 Route 73 N Ste 320Marlton, NJ 08053-3426
Phone 856-988-9101
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