Ms. Lori Bravenboer
Nurse Practitioner - Family Medicine
181 High St
Newton
, New Jersey 07860-1020
Ms. Lori Bravenboer
Nurse Practitioner - Family Medicine
181 High St
Newton
, New Jersey 07860-1020
(973) 214-2334
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Ms. Lori Bravenboer
- 22 Hidden Valley Dr
- Vernon, NJ
- Zip : 07462-3153
- Phone : (973) 214-2334
Second Address
- Ms. Lori Bravenboer
- 181 High St
- Newton, NJ
- Zip : 07860-1020
- Phone : (973) 383-9898
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 26NJ00603500 | NJ |
National Provider Identifier
| NPI | 1003281940 |
|---|---|
| Provider Name | Ms. Lori Bravenboer |
| First Address | Vernon, NJ 07462-3153 |
| Second Address | Newton, NJ 07860-1020 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.