Individual
SALLIE B CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO08408100
NJ
363LF0000X
Family Nurse Practitioner
26NJ00005000
NJ
Other
Enumeration date
02/15/2007
Last updated
09/11/2025
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