Individual provider · Type 1 NPI
Mary Elizabeth D'entremont, ANP-BC
Nurse Practitioner · Glen Rock, NJ
Practice location
208 Harristown Rd Ste 201
Glen Rock, NJ 07452-3306
Mailing address
411 Northern Pkwy
Ridgewood, NJ 07450-1720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305439-1 (NY) |
| Nurse Practitioner Primary | 363L00000X | 26NJ00674700 (NJ) |
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…
Other nurse practitioner providers in Glen Rock
About NPI 1982981858
Mary Elizabeth D'entremont, ANP-BC's National Provider Identifier is 1982981858, issued on Nov 7, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glen Rock, NJ. The record was last updated on Sep 23, 2026.