Individual
AMY LYNNE ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-5310
Mailing address
3403 BALSAM WAY, BASKING RIDGE, NJ 07920-3157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP10858
CA
363LF0000X
Family Nurse Practitioner
Primary
26NJ00162600
NJ
363LF0000X
Family Nurse Practitioner
AP70011590
WA
Other
Enumeration date
07/09/2008
Last updated
09/16/2025
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