Individual
CAREN BAUTISTA MAMARADLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 HAMILTON DR, STEWARTSVILLE, NJ 08886-2649
(201) 306-7333
Mailing address
346 HAMILTON DR, STEWARTSVILLE, NJ 08886-2649
(201) 306-7333
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ15234000
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ15234000
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ15234000
NJ
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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