KAITLYN SMITH

RANDOLPH, NJ
NPI1083034946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NJ00498600)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  26NJ00498600)
363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ  26NJ00498600)
Enumeration Date2014-04-18
Last Update Date2015-03-25
Business Address
-- KAITLYN SMITH
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869-1925
Phone number: 973-479-1128
Mailing Address
-- KAITLYN SMITH
105 RAIDER BLVD SUITE 101
HILLSBOROUGH, NJ 08844-1528
Phone number: 973-479-1129