Individual
MRS. MINI WILLPHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,APN,AGACNP-BC,CC
Contact information
Practice address
224 HAMBURG TPKE, WAYNE, NJ 07470-2168
(973) 926-7000
Mailing address
224 HAMBURG TPKE, WAYNE, NJ 07470-2168
(973) 926-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00509300
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
26NJ00509300
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00509300
NJ
Other
Enumeration date
08/19/2014
Last updated
04/04/2019
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