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Individual

MRS. KERRI ELMENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
(551) 996-0859
Mailing address
510 WESTERN HWY, BLAUVELT, NY 10913-2011
(845) 323-9289

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ01026200
NJ

Other

Enumeration date
11/11/2022
Last updated
11/11/2022
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