Healthcare Provider Details

I. General information

NPI: 1497211064
Provider Name (Legal Business Name): DANA ARCE PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 PARKWAY AVE STE 303
EWING NJ
08628-3018
US

IV. Provider business mailing address

5 MULBERRY RD
TURNERSVILLE NJ
08012-2144
US

V. Phone/Fax

Practice location:
  • Phone: 609-989-9801
  • Fax: 888-736-4821
Mailing address:
  • Phone: 609-774-1767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26NJ00912000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: