Organization Name: | WINDSOR ADVANCED PRACTICE NURSING PC |
NPI Number: | 1033595897 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA DEPERALTA (NUESE PRACTITIONOR) |
Mailing Address: | 100 Mcclellen St Norwood |
State: | NJ US |
Postal Code: | 076481555 |
Phone Number: | 2017670100 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |