Individual
MITZI FULK PFENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6 CLUB HOUSE DR STE 102, WASHINGTON, NJ 07882-2213
(908) 237-4144
(908) 237-4137
Mailing address
6 CLUB HOUSE DR STE 102, WASHINGTON, NJ 07882-2213
(908) 237-4144
(908) 237-4137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ00905600
NJ
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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