Organization
FIRST ASSIST NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BRENNER RN, APN, C, RNFA (OWNER)
(908) 771-0030
Entity
Organization
Contact information
Practice address
140 MOUNTAIN AVE, SUMMIT, NJ 07901-3424
(908) 771-0030
(908) 771-0030
Mailing address
140 MOUNTAIN AVE, SUMMIT, NJ 07901-3424
(908) 771-0030
(908) 771-0030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00061100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071196
—
NJ
01
—
1679579452
NPI AS NURSE PRACTITIONER
NJ
Enumeration date
04/13/2007
Last updated
08/22/2020
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