Individual
KELLY W MURAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
28 VALLEY RD # 148, MONTCLAIR, NJ 07042-2709
(201) 273-7047
(609) 998-4358
Mailing address
18 VICTOR AVE, EATONTOWN, NJ 07724-1321
(732) 337-0220
(732) 389-0562
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00607000
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00607000
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00607000
NJ
Other
Enumeration date
01/25/2012
Last updated
07/18/2025
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