Individual
MISS ASHLEE THERESA MAIXNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1813 OAK TREE RD, EDISON, NJ 08820-2740
(908) 769-9494
Mailing address
7 HERITAGE LANE, WHIPPANY, NJ 07981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00782200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2017
Last updated
03/17/2018
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