Individual
DIANE MARIE ANDRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
517 WHITE AVE, NORTHVALE, NJ 07647-1018
(201) 837-0727
(201) 837-8504
Mailing address
517 WHITE AVENUE, NORTHVALE, NJ 07647
(201) 837-0727
(201) 837-8504
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00102200
NJ
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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