Individual
MISS KRISTINA ABANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
452 OLD HOOK RD, EMERSON, NJ 07630-1381
(201) 666-3900
(201) 261-0505
Mailing address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00497700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00497700
NJ APN LICENSE
NJ
Enumeration date
08/26/2014
Last updated
09/18/2019
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