Individual
HETTY J HIRSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 385-4400
(201) 384-7067
Mailing address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
(201) 384-7067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NC07473900
NJ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
26NC07473900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NC07473900
LICENSE
NJ
Enumeration date
06/11/2006
Last updated
07/21/2008
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