Organization
NURSE PRACTITIONERS IN LONG TERM CARE LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAXINE MCGOWAN NP (OWNER)
(973) 843-2099
Entity
Organization
Contact information
Practice address
1992 MORRIS AVE, SUITE 214, UNION, NJ 07083-3507
(973) 843-2099
Mailing address
1992 MORRIS AVE, SUITE 214, UNION, NJ 07083-3507
(973) 843-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR07760600
NJ
363LF0000X
Family Nurse Practitioner
332171
NJ
Other
Enumeration date
04/16/2008
Last updated
06/05/2008
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