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Organization
NURSE PRACTITIONERS IN LONG TERM CARE LIMITED LIABILITY COMPANY
Active
Organization
NURSE PRACTITIONERS IN LONG TERM CARE LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAXINE MCGOWAN NP (OWNER)
(973) 843-2099
Entity
Organization
Contact information
Practice address
1992 MORRIS AVE, SUITE 214, UNION, NJ 07083-3507
(973) 843-2099
Mailing address
1992 MORRIS AVE, SUITE 214, UNION, NJ 07083-3507
(973) 843-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR07760600
NJ
363LF0000X
Family Nurse Practitioner
332171
NJ
Other
Enumeration date
04/16/2008
Last updated
06/05/2008
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