Alisa Jessine Underwood RN, BSN, IBCLC

NPI 1790926400 - Registered Nurse - 163WL0100X

NPI Details
NPI 1790926400
Gender Female
Enumeration Date 03/11/2009
Last Updated 03/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
45 CEDAR LK W
DENVILLE NJ, 07834-1766, US
Phone (973) 534-8212
Fax
Business Location
45 CEDAR LK W
DENVILLE NJ, 07834-1766, US
Phone (973) 534-8212
Fax
Toxanomy
Taxonomy Code 163WL0100X
License State New Jersey
License Number 26NO11625500
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According to our database, Mrs. Alisa Jessine Underwood RN, BSN, IBCLC NPI is 1790926400, taxonomy code is 163WL0100X and license number is 26NO11625500, license state is located at New Jersey. Alisa Jessine Underwood RN, BSN, IBCLC physically located at 45 Cedar Lk W, Denville NJ, 07834-1766. NPI Number Alisa Jessine Underwood RN, BSN, IBCLC has the Individual type.

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1790926400 NPI number is provided on an as is basis without warranty of any kind. 1790926400 is maintained by the National Plan & Provider Enumeration System. The contents of Alisa Jessine Underwood RN, BSN, IBCLC are for informational purposes only.