Individual
KATY MIERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(732) 840-3537
Mailing address
123 SANDRA PL, BRICK, NJ 08724-7041
(732) 840-3537
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14973700
NJ
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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