Individual
CRISTINA WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 667-8889
Mailing address
349 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 667-8889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01100400
NJ
363LF0000X
Family Nurse Practitioner
33 335809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03569124
—
NY
05
—
0988197
—
NJ
Enumeration date
09/23/2009
Last updated
05/30/2024
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