Individual
MS. GABRIELLE JOSEPHINE MULDERRIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
106 GRAND AVE STE 450, ENGLEWOOD, NJ 07631-3596
(201) 871-1515
(201) 871-9683
Mailing address
405 TENAFLY RD, ENGLEWOOD, NJ 07631-1728
(201) 334-6602
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00635100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00635100
NEW JERSEY APN LICENSE #
NJ
01
—
P00712700
NEW JERSEY CDS REGISTRATION #
NJ
Enumeration date
09/19/2016
Last updated
04/22/2024
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