Individual
EILEEN SARAH HEANUE-BOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
125 U.S. ROUTE 46, BUDD LAKE, NJ 07828
(973) 691-1111
(973) 691-1198
Mailing address
125 ROUTE 46, BUDD LAKE, NJ 07828
(973) 691-1111
(973) 691-1198
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00451400
NJ
363LA2200X
Adult Health Nurse Practitioner
F303822-1
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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