Individual
SUSAN MARY EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
100 E HANOVER AVE, CEDAR KNOLLS, NJ 07927-2020
(973) 401-2121
(973) 625-7116
Mailing address
94 PLEASANT HILL RD, RANDOLPH, NJ 07869-3466
(973) 927-3597
(973) 401-2140
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NJ00080900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00195000
CDS#
NH
Enumeration date
04/03/2006
Last updated
03/07/2023
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