Individual
JOYCE USANEE LERTPATTANAKOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9900 BREN RD E, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-9664
(201) 566-7191
Mailing address
153 STONERIDGE RD, NEW PROVIDENCE, NJ 07974-2622
(201) 566-7191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00334800
NJ
Other
Enumeration date
06/14/2011
Last updated
06/29/2020
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