Individual
SUSAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
1 CLARA MAASS DR STE 200, BELLEVILLE, NJ 07109-3550
(973) 751-8880
(973) 751-8950
Mailing address
1 CLARA MAASS DR STE 200, BELLEVILLE, NJ 07109-3550
(973) 751-8880
(973) 751-8950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00001000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009440
—
NJ
01
—
26NJ00001000
APN STATE LICENSE
NJ
Enumeration date
12/20/2005
Last updated
02/28/2020
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