Individual provider · Type 1 NPI

Carol Bacon, APN

Acute Care Nurse Practitioner · Newark, NJ

NPI number 1912340662 Active

Practice location

201 Lyons Ave, Newark Beth Israel Medical Center
Newark, NJ 07112-2027

Fax (973) 705-8207

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X26NJ00272500 (NJ)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1912340662

Carol Bacon, APN's National Provider Identifier is 1912340662, issued on Apr 12, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Newark, NJ. The record was last updated on Apr 12, 2013.