Individual
NANCY ANN EAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
430 DEVON ST, FORKED RIVER, NJ 08731-2430
(201) 956-2792
Mailing address
430 DEVON ST, A, FORKED RIVER, NJ 08731-2430
(201) 956-2792
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
43ZA00154900
NJ
2278G1100X
General Care Certified Respiratory Therapist
Primary
43ZA00154900
NJ
2278P1006X
Pulmonary Function Technologist Certified Respiratory Therapist
43ZA00154900
NJ
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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