Individual
LAUREN CHRISTINE DADDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGNP-C
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3000
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01071600
NJ
363LA2200X
Adult Health Nurse Practitioner
26NR14894700
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01071600
NJ
363LG0600X
Gerontology Nurse Practitioner
26NR14894700
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ01071600
NJ
363LP2300X
Primary Care Nurse Practitioner
26NR14894700
NJ
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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