Individual provider · Type 1 NPI

Mary Elizabeth D'entremont, ANP-BC

Nurse Practitioner · Glen Rock, NJ

NPI number 1982981858 Active

Practice location

208 Harristown Rd Ste 201
Glen Rock, NJ 07452-3306

Mailing address

411 Northern Pkwy
Ridgewood, NJ 07450-1720

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XF305439-1 (NY)
Nurse Practitioner Primary 363L00000X26NJ00674700 (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…

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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.