Individual
KATHLEEN STANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
(732) 923-7682
Mailing address
14050 NW 14TH ST, STE 190, SUNRISE, FL 33323-2851
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN04297000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8746605
—
NJ
Enumeration date
07/10/2006
Last updated
07/27/2016
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