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Individual

ELIZABETH ANNE BENNETT-GARGUILO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
133 HARRISON AVE, WESTFIELD, NJ 07090-2432
(908) 803-0361
Mailing address
133 HARRISON AVE, WESTFIELD, NJ 07090-2432
(908) 803-0361

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19772700
NJ
163W00000X
Registered Nurse
735422
NY
363LF0000X
Family Nurse Practitioner
26NJ14892400
NJ
363LF0000X
Family Nurse Practitioner
351663
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ14892400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407509
NY

Other

Enumeration date
07/07/2023
Last updated
01/07/2026
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