Individual
PATRICIA R GARDUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1301 MAIN ST, ASBURY PARK, NJ 07712-5359
(732) 774-6333
(732) 774-0313
Mailing address
1301 MAIN ST, ASBURY PARK, NJ 07712-5359
(732) 774-6333
(732) 774-0313
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
26NN05197900
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NN05197900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090247
—
NJ
Enumeration date
09/20/2006
Last updated
01/28/2016
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