Doctor Name: | MRS. ELAINE MARY KUNIGONIS |
NPI Number: | 1043345143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00076300 |
Business Practice Address: | 128 Crest Haven Rd Cape May Court House, NJ - 08210 |
Business Phone Number: | 6094654100 |
Business Fax Number: | 6094657751 |
Mailing Address: | 209 Laguna Dr, EGG HARBOR TWNSP |
State: | NJ |
Postal Code: | 082347730 |
Phone Number: | 6096534286 |
Fax Number: | 6096534286 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 26NJ00076300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |