=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023162047
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCES WARD PHD, RN, APN,C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 538 S BROADWAY
-----------------------------------------------------
City | CAMDEN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08103-1244
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-541-1752
-----------------------------------------------------
Fax | 856-566-6203
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 428 GOLF VIEW DR
-----------------------------------------------------
City | LITTLE EGG HARBOR
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08087-4232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-812-1229
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 26NN05215100
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------