Individual
MRS. JOSEPHINE NANCY O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
18 COURTLAND DR, HAZLET, NJ 07730-1642
(732) 888-7835
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NR15406000
NJ
363LP0200X
Pediatric Nurse Practitioner
566824-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00568300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0879215
—
NJ
Enumeration date
04/10/2015
Last updated
10/10/2024
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