Organization · Type 2 NPI
Panda Physical Medicine LLC
Nurse Practitioner · Eatontown, NJ
Practice location
142 Highway 35 Ste 107
Eatontown, NJ 07724-1864
Fax (732) 531-1200
Mailing address
904 Deal Rd Apt 12
Ocean, NJ 07712-3443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| Specialist | 174400000X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
About NPI 1043711203
Panda Physical Medicine LLC's National Provider Identifier is 1043711203, issued on Feb 23, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eatontown, NJ. The record was last updated on May 27, 2022.