Individual
AMY DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6672
Mailing address
338 ELKWOOD AVE, NEW PROVIDENCE, NJ 07974-1838
(908) 771-0999
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00052300
NJ
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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