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NPI Code Detail

MEDICARE: MISS IVETTE AMNERYS DUNCAN APN

MEDICARE:  MISS IVETTE AMNERYS DUNCAN  APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ00591600NJ
2363LP0200XPediatric Nurse Practitioner26NJ00591600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104296524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS IVETTE AMNERYS DUNCAN APN
Provider Business Mailing Address
First Line : 301 LIPPINCOTT DR STE 410
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4197
Country : US
Telephone Number : 856-355-7118
Fax Number : 856-325-5222
Provider Business Practice Location Address
First Line : 218A SUNSET RD FL 1
Second Line :
City : WILLINGBORO
State : NJ
Zip : 08046-1110
Country : US
Telephone Number : 856-355-7118
Fax Number : 856-325-5222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2015
Last Update Date : 12/03/2025

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Directions to “ MISS IVETTE AMNERYS DUNCAN APN” Practice Location

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