Individual
KATELYN R SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Mailing address
500 LAKEHURST RD, TOMS RIVER, NJ 08755-8064
(908) 370-5395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00878700
NJ
Other
Enumeration date
11/14/2018
Last updated
08/16/2022
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