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Organization
FIRST ASSIST NEW JERSEY, LLC
Active
Organization
FIRST ASSIST NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BRENNER RN, APN, C, RNFA (OWNER)
(908) 771-0030
Entity
Organization
Contact information
Practice address
140 MOUNTAIN AVE, SUMMIT, NJ 07901-3424
(908) 771-0030
(908) 771-0030
Mailing address
140 MOUNTAIN AVE, SUMMIT, NJ 07901-3424
(908) 771-0030
(908) 771-0030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00061100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071196
—
NJ
01
—
1679579452
NPI AS NURSE PRACTITIONER
NJ
Enumeration date
04/13/2007
Last updated
08/22/2020
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