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NPI Code Detail

MEDICARE: HEIDI CARLEY APRN, FNP-BC

MEDICARE:   HEIDI  CARLEY  APRN, FNP-BC
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
1363L00000XNurse Practitioner26NJ15477000NJ

General Provider Information

NPI Number : 1396608279
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI CARLEY APRN, FNP-BC
Provider Business Mailing Address
First Line : 373 DALLAS DR
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-4266
Country : US
Telephone Number : 973-986-7840
Fax Number :
Provider Business Practice Location Address
First Line : 373 DALLAS DR
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-4266
Country : US
Telephone Number : 973-986-7840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ HEIDI CARLEY APRN, FNP-BC” Practice Location

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