Individual
BARBARA DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,CRNFA
Contact information
Practice address
11 PETERS TERR, FLAGTOWN, NJ 08821-0628
(908) 369-8791
Mailing address
PO BOX 628, FLAGTOWN, NJ 08821-0628
(908) 369-8793
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO08920600
NJ
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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