Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11011309 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | F07182149 | NJ |
NPI | 1619456332 |
---|---|
Provider Name | Anna Leigh Stulz |
First Address | Toms River, NJ 08755-6423 |
Second Address | Toms River, NJ 08755-6423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2018 |
Last Update Date | 30/06/2021 |