Individual
LYNN MALANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RNFA, APN.C
Contact information
Practice address
695 US HIGHWAY 46, STE 400A, FAIRFIELD, NJ 07004-1568
(973) 826-8291
(888) 972-6480
Mailing address
734 6TH ST, SECAUCUS, NJ 07094-3012
(201) 600-2848
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO11473000
NJ
363LA2200X
Adult Health Nurse Practitioner
A0805236
NJ
Other
Enumeration date
10/28/2011
Last updated
11/28/2018
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