Individual
MS. PATRICIA MARY CONNOLLY-DETURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., C.N.M.
Contact information
Practice address
114 E CLINTON AVE, BERGENFIELD, NJ 07621-3024
(201) 384-4955
(201) 384-2559
Mailing address
114 E CLINTON AVE, BERGENFIELD, NJ 07621-3024
(201) 384-4955
(201) 384-2559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR05601200
NJ
163W00000X
Registered Nurse
344654-1
NY
175L00000X
Homeopath
—
—
176B00000X
Midwife
Primary
25ME00016101
NJ
176B00000X
Midwife
F000634-1
NY
Other
Enumeration date
12/24/2008
Last updated
09/12/2013
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