Individual
KATHERINE HEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1200 E RIDGEWOOD AVE STE 108, RIDGEWOOD, NJ 07450-3937
(201) 389-1285
(201) 445-4195
Mailing address
1200 E RIDGEWOOD AVE STE 108, RIDGEWOOD, NJ 07450-3937
(201) 389-1285
(201) 445-4195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00941200
NJ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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