Individual
CAITLIN ZANGARA AGOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APN,C, PMHNP-BC
Contact information
Practice address
39 LOIS AVE, EAST BRUNSWICK, NJ 08816
(908) 705-5704
Mailing address
39 LOIS AVE, EAST BRUNSWICK, NJ 08816-2906
(908) 705-5704
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR12690200
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00837700
NJ
Other
Enumeration date
10/14/2009
Last updated
08/05/2018
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