Individual
KERA STILLITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
100 CHALLENGER RD # 205, RIDGEFIELD PARK, NJ 07660-2108
(443) 383-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13053200
NJ
363L00000X
Nurse Practitioner
Primary
26NJ15007600
NJ
Other
Enumeration date
02/08/2024
Last updated
02/17/2025
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