Individual
KIMBERLY EBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PCD(DONA)
Contact information
Practice address
43 WOODSIDE TER, WEST ORANGE, NJ 07052-5024
(201) 956-0704
Mailing address
43 WOODSIDE TER, WEST ORANGE, NJ 07052-5024
(201) 956-0704
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
26NR16771200
NJ
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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