Individual
LISA RAE D'HUYVETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3619
(201) 447-8000
Mailing address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2736
(201) 447-8000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
26NR18885900
NJ
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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