Individual
KATHERINE A MEMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
514 LAFAYETTE RD STE D, SPARTA, NJ 07871-3494
(973) 940-2400
(973) 940-0138
Mailing address
514 LAFAYETTE RD STE D, SPARTA, NJ 07871-3494
(973) 940-2400
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
26NO10700800
NJ
163WA2000X
Administrator Registered Nurse
RN3422579L
PA
Other
Enumeration date
11/21/2019
Last updated
11/26/2019
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