ANANNYA SHAJI JOHNY

MONTVALE, NJ
NPI1356066815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ15087300)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NY  350053)
Enumeration Date2022-10-06
Last Update Date2024-12-17
Business Address
ANANNYA SHAJI JOHNY
8 E GRAND AVE
MONTVALE, NJ 07645-2536
Phone number: 201-474-5189
Mailing Address
ANANNYA SHAJI JOHNY
8 E GRAND AVE
MONTVALE, NJ 07645-2536
Phone number: 201-474-5189