# NURSE PRACTITIONERS IN LONG TERM CARE LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780858191
- **Authorized official:** MS. MAXINE MCGOWAN NP (OWNER)
- **Authorized official phone:** (973) 843-2099

## Contact information

- **Practice address:** 1992 MORRIS AVE, SUITE 214, UNION, NJ 07083-3507
- **Practice address phone:** (973) 843-2099
- **Mailing address:** 1992 MORRIS AVE, SUITE 214, UNION, NJ 07083-3507
- **Mailing address phone:** (973) 843-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NR07760600 | NJ | Yes |
| 363LF0000X | Family Nurse Practitioner | 332171 | NJ | — |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 06/05/2008