Individual
EILEEN JANORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 MAIN ST, ASBURY PARK, NJ 07712-5359
(732) 774-6333
Mailing address
1301 MAIN ST, ASBURY PARK, NJ 07712-5359
(732) 774-6333
(732) 774-0313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13110800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01041500
NJ
Other
Enumeration date
07/09/2020
Last updated
07/01/2021
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