Individual
STEPHANIE LANDAVERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 KENNEDY DR APT 1, LINDEN, NJ 07036-4420
(732) 604-7256
Mailing address
410 KENNEDY DR APT 1, LINDEN, NJ 07036-4420
(732) 604-7256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR19512300
NJ
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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