Kimberly Lynn Lanholm, MSN, APN, FNP-C | |
6981 North Park Drive, Suite 200a, Pennsauken, NJ 08109-4201 | |
(856) 663-4949 | |
(856) 663-6076 |
Full Name | Kimberly Lynn Lanholm |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6981 North Park Drive, Suite 200a, Pennsauken, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235951849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 26NJ15188000 (New Jersey) | Primary |
Entity Name | Virtua Medical Group, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Mailing Address | Practice Location Address |
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Kimberly Lynn Lanholm, MSN, APN, FNP-C 301 Lippincott Drive, Suite 410, Marlton, NJ 08053 Ph: (856) 355-0340 | Kimberly Lynn Lanholm, MSN, APN, FNP-C 6981 North Park Drive, Suite 200a, Pennsauken, NJ 08109-4201 Ph: (856) 663-4949 |
Shevon Borde Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 John Tipton Blvd, Pennsauken, NJ 08110 Phone: 215-436-7842 | |
Cynthia Carter Alston, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5101 N Park Dr, Pennsauken, NJ 08109 Phone: 856-665-8844 Fax: 856-665-1888 | |
Lauren Mcneal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 Walnut Ave, Pennsauken, NJ 08109 Phone: 609-276-5039 | |
Ramona Hernandez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6705 Park Ave, Pennsauken, NJ 08109 Phone: 856-662-0017 | |
Esther Ofori-denutsui, RN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109 Phone: 856-685-6005 | |
Christine Kelly, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2475 Mcclellan Ave, Pennsauken, NJ 08109 Phone: 856-675-3355 |