Individual
MRS. KAVITHA BATHINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
607 PARKVIEW LN, ROCKAWAY, NJ 07866-2081
(415) 609-4254
Mailing address
607 PARKVIEW LN, ROCKAWAY, NJ 07866-2081
(415) 609-4254
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01121300
NJ
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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