Individual
KELLY BARRAMEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, RN, AGPCNP-BC
Contact information
Practice address
100 WALNUT AVE # 610, CLARK, NJ 07066-1253
(908) 583-5630
Mailing address
10 HUDSON AVE, TOTOWA, NJ 07512-2139
(973) 945-3816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR21697500
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01292100
NJ
Other
Enumeration date
06/06/2021
Last updated
04/11/2023
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