Doctor Name: | GERTI ELISABETH HEIDER |
NPI Number: | 1417092875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, APRN, BC |
License Number: | 26NN06741100 |
Business Practice Address: | 505 Ramapo Valley Rd Mahwah, NJ - 074301623 |
Business Phone Number: | 2016847206 |
Business Fax Number: | 2016847954 |
Mailing Address: | 1259 Green Pond Rd, NEWFOUNDLAND |
State: | NJ |
Postal Code: | 074351215 |
Phone Number: | 9736979283 |
Fax Number: | 9732081988 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 26NN06741100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |