Individual
RUTH HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC/PC
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-5000
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
26NJ01040200
NJ
Other
Enumeration date
07/06/2020
Last updated
09/22/2020
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