Organization
WINDSOR ADVANCED PRACTICE NURSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TERESA DEPERALTA MSN, APN-BC (NUESE PRACTITIONOR)
(201) 767-0100
Entity
Organization
Contact information
Practice address
100 MCCLELLEN ST, NORWOOD, NJ 07648-1555
(201) 767-0100
Mailing address
100 MCCLELLEN ST, NORWOOD, NJ 07648-1555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
APPLIED FOR
NJ
Enumeration date
08/04/2015
Last updated
08/04/2015
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