Organization
HANRA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BASTONE APN (PMHNP)
(917) 548-2479
Entity
Organization
Contact information
Practice address
77 CHESTNUT WAY, MANALAPAN, NJ 07726
(917) 548-2479
Mailing address
77 CHESTNUT WAY, MANALAPAN, NJ 07726
(917) 548-2479
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0933147MF1
—
NJ
01
—
1154055325
NPI
NJ
Enumeration date
12/04/2024
Last updated
12/04/2024
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