Individual
MRS. KATY MOLL NDRENIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(954) 939-5589
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
075368
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR18912100
NJ
Other
Enumeration date
10/06/2009
Last updated
02/08/2017
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