Individual
PATRICIA LAUREN BALLERINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3333
Mailing address
672 LINCOLN AVE, MAYWOOD, NJ 07607-1538
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07298800
NJ
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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