Organization · Type 2 NPI
Sidwa Enterprise Ii, LLC
Adult Health Nurse Practitioner · Forked River, NJ
NPI number
1902252315
Active
Practice location
1043 Montauk Dr
Forked River, NJ 08731-2004
Fax (888) 836-3950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NN10119300 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1902252315
Sidwa Enterprise Ii, LLC's National Provider Identifier is 1902252315, issued on May 4, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Forked River, NJ. The record was last updated on May 10, 2016.