Individual
ELIZABETH ANNE FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PMHNP-BC, APN
Contact information
Practice address
100 E HANOVER AVE, CEDAR KNOLLS, NJ 07927-2020
(973) 401-2121
Mailing address
100 E HANOVER AVE, CEDAR KNOLLS, NJ 07927-2020
(973) 401-2121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00337200
NJ
Other
Enumeration date
07/24/2011
Last updated
09/21/2011
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