Individual
MS. KIM R MARTIN-WIDAWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
328 W SAINT GEORGES AVE, LINDEN, NJ 07036-5638
(908) 925-2273
Mailing address
77 W MAPLE AVE, ALLENDALE, NJ 07401-1206
(201) 394-3329
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
26NN06683300
NJ
163WX0106X
Occupational Health Registered Nurse
300344
NY
363L00000X
Nurse Practitioner
Primary
26NN06683300
NJ
363LA2200X
Adult Health Nurse Practitioner
300344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NN06683300
ADVANCE PRACTICE NURSE
NJ
01
—
300344
RN ANP LICENSE
NY
01
—
F300344-1
NURSE PRACTITIONER IN ADULT HEALTH
NY
Enumeration date
11/16/2006
Last updated
02/05/2025
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