Doctor Name: | MS. JOAN ANDERSEN TWOMBLY |
NPI Number: | 1073890562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 004669 |
Business Practice Address: | 47 Rolling Ridge Rd Upper Saddle River, NJ - 074581767 |
Business Phone Number: | 2032401292 |
Business Fax Number: | |
Mailing Address: | 47 Rolling Ridge Rd, UPPER SADDLE RIVER |
State: | NJ |
Postal Code: | 074581767 |
Phone Number: | 2032401292 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2011 |
NPI Last Update Date: | 11/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 004669 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |