Doctor Name: | KATHRYN E VALENZANO |
NPI Number: | 1336277599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 26NJ00100000 |
Business Practice Address: | 124 Lexington Ave Merchantville, NJ - 081092031 |
Business Phone Number: | 8566631121 |
Business Fax Number: | 8566619818 |
Mailing Address: | 124 Lexington Ave, MERCHANTVILLE |
State: | NJ |
Postal Code: | 081092031 |
Phone Number: | 8566631121 |
Fax Number: | 8566619818 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 26NJ00100000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |