Individual
MARY VANHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MS APN-C
Contact information
Practice address
220 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-1348
(973) 966-6333
Mailing address
220 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-1348
(973) 966-6333
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN05462400
NJ
Other
Enumeration date
09/18/2008
Last updated
04/20/2010
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