Individual
JILLIAN M LIWACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(800) 637-2374
Mailing address
216 SANHICAN DR, TRENTON, NJ 08618-5013
(609) 273-7418
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR2035910
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01334800
NJ
Other
Enumeration date
06/13/2022
Last updated
07/27/2022
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