Individual
IRENE OSIPENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 901-0277
Mailing address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 901-0277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11495600
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00491300
NJ
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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