Individual
MS. NANCY C WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,APN-C
Contact information
Practice address
200 LYONS AVE, BUILDING L-5 PEDIATRIC GASTROENTEROLOGY, NEWARK, NJ 07112-2026
(973) 926-7280
(973) 705-3148
Mailing address
1123 COOLIDGE RD, ELIZABETH, NJ 07208-1005
(908) 355-0355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO10834400
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN10834400
NJ
Other
Enumeration date
07/02/2007
Last updated
07/23/2021
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