Doctor Name: | MRS. KENITA T ECHEVARRIA |
NPI Number: | 1033307616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 26NR15324800 |
Business Practice Address: | 33 Peach St Tinton Falls, NJ - 077242601 |
Business Phone Number: | 7325354646 |
Business Fax Number: | |
Mailing Address: | 33 Peach St, TINTON FALLS |
State: | NJ |
Postal Code: | 077242601 |
Phone Number: | 7325354646 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 26NR15324800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |