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COURTNEY ELIZABETH HENNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3500
(908) 542-3211
Mailing address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3500
(908) 542-3211

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00345800
NJ
363LF0000X
Family Nurse Practitioner
Primary
33 334424
NY

Other

Enumeration date
08/08/2007
Last updated
03/21/2012
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