Individual provider · Type 1 NPI

Irina Konzelmann, NP

Primary Care Nurse Practitioner · Basking Ridge, NJ

NPI number 1417311754 Active

Practice location

136 Mountainview Blvd
Basking Ridge, NJ 07920-3444

Specialties and licenses

TaxonomyCodeLicense
Medical Oncology Physician 207RX0202X26NJ00622600 (NJ)
Primary Care Nurse Practitioner Primary 363LP2300X26NJ00622600 (NJ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1417311754

Irina Konzelmann, NP's National Provider Identifier is 1417311754, issued on Apr 13, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Basking Ridge, NJ. The record was last updated on Jan 10, 2019.