Individual
KATHLEEN M HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, FNP-BC
Contact information
Practice address
65 BERGEN ST # 1025C, NEWARK, NJ 07107-3001
(973) 972-1702
Mailing address
63 SALEM RD, NEW PROVIDENCE, NJ 07974-2345
(201) 401-1458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN10422500
NJ
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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