| NPI | 1982739793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J. DIDYK President 609-286-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP2800X Clinical Nurse Specialist, Perioperative (Licence: NJ 26NJ00054900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00054900) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00054900) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NO06959300) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-04-06 |