Individual
KATE A OKUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47 PEACH TREE AVE, EAST HANOVER, NJ 07936-1559
(908) 304-5313
(973) 585-4229
Mailing address
47 PEACH TREE AVE, EAST HANOVER, NJ 07936-1559
(908) 304-5313
(973) 585-4229
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00407600
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJOO407600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0596124
—
NJ
Enumeration date
01/15/2013
Last updated
04/12/2021
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