Individual
DANIELLE KATHRYN CONSTANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
4 CEDAR RIDGE RD, CHESTER, NJ 07930-2842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16940600
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01084100
NJ
Other
Enumeration date
11/13/2020
Last updated
03/15/2021
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