Individual
MS. SUSAN - GIMBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN,C
Contact information
Practice address
36 GROVER LN, WEST CALDWELL, NJ 07006-7948
(973) 364-0129
(973) 364-0129
Mailing address
36 GROVER LN, WEST CALDWELL, NJ 07006-7948
(973) 364-0129
(973) 364-0129
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00041600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F400717
NY
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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