Individual
CLAUDINE DESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 PLEASANT VALLEY WAY STE 305, WEST ORANGE, NJ 07052-2956
(862) 658-6700
Mailing address
13 W BROAD ST, BERLIN, NJ 08009-1435
(973) 768-1393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00663500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00663500
NJ
Other
Enumeration date
09/07/2016
Last updated
06/27/2024
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