Individual
MS. MARYBETH HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
VA NEW JERSEY HEALTH CARE SYSTEM, EAST ORANGE CAMPUS, 385 TREMONT AVENUE, EAST ORANGE, NJ 07018
(973) 676-1000
Mailing address
7 JUDGE THOMPSON RD, SOMERVILLE, NJ 08876-3723
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NC06229000
NJ
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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