Individual
SARAH WILLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
254B MOUNTAIN AVE STE 100, HACKETTSTOWN, NJ 07840-2413
(908) 852-6400
Mailing address
174 MOUNTAINSIDE RD, MENDHAM, NJ 07945-1718
(443) 386-0012
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00956600
NJ
Other
Enumeration date
09/04/2019
Last updated
08/19/2020
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