Kathy Ann Ennis APN

NPI 1194937334 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1194937334
Gender Female
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
150 BERGEN ST
NEWARK NJ, 07103-2496, US
Phone (973) 972-6205
Fax
Business Location
27 LAWRENCE DR
BERKELEY HEIGHTS NJ, 07922-1254, US
Phone (201) 841-0520
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State New Jersey
License Number 26NN04996000
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According to our database, Ms. Kathy Ann Ennis APN NPI is 1194937334, taxonomy code is 363LA2100X and license number is 26NN04996000, license state is located at New Jersey. Kathy Ann Ennis APN physically located at 150 Bergen St, Newark NJ, 07103-2496. NPI Number Kathy Ann Ennis APN has the Individual type.

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1194937334 NPI number is provided on an as is basis without warranty of any kind. 1194937334 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Ann Ennis APN are for informational purposes only.