Organization · Type 2 NPI
Vernonway Healthcare Agency
Adult Health Nurse Practitioner · Glen Ridge, NJ
NPI number
1164253258
Active
Practice location
123 Highland Ave Ste G2
Glen Ridge, NJ 07028-1522
Fax (908) 652-9230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1164253258
Vernonway Healthcare Agency's National Provider Identifier is 1164253258, issued on Aug 9, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Glen Ridge, NJ. The record was last updated on Aug 9, 2024.