Individual
HEATHER BAKER ELEPANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 UNION BLVD, SUITE 2, TOTOWA, NJ 07512-2610
(973) 595-0600
Mailing address
290 UNION BLVD, SUITE 2, TOTOWA, NJ 07512-2610
(973) 595-0600
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
26NR13721400
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00547100
NJ
Other
Enumeration date
07/09/2015
Last updated
07/31/2016
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