Individual
MS. JOAN EVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-5575
(973) 854-3630
Mailing address
151 PROSPECT AVE, APT 14A, HACKENSACK, NJ 07601-2209
(201) 370-4326
(973) 278-2344
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
26NN05872700
NJ
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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