Mary Rose Boutros, AGNP
NPI #1285116822 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1285116822
- Entity Type
- Individual
- Name
- Mary Rose Boutros, AGNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- AGNP
- Enumeration Date
- Aug 30, 2018
- Last Updated
- Aug 30, 2018
Practice Location
- Address
- 22 TOPEKA CT
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07712-7508
- Phone
- (732) 618-7718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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