Organization
ANCHORED ADOLESCENT & CHILD PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIERSTEN ILAOA DNP (NURSE PRACTITIONER)
(609) 525-4947
Entity
Organization
Contact information
Practice address
510 S. SHORE RD (ROUTE 9), UNIT B, MARMORA, NJ 08223
(610) 416-9802
Mailing address
510 S. SHORE RD (ROUTE 9), UNIT B, MARMORA, NJ 08223
(609) 525-4947
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
01/02/2025
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