Doctor Name: | NESSY THOMAS THADATHIL |
NPI Number: | 1477949907 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00550500 |
Business Practice Address: | 8 Hoover Ave East Hanover, NJ - 079363110 |
Business Phone Number: | 9737928785 |
Business Fax Number: | |
Mailing Address: | 8 Hoover Ave, EAST HANOVER |
State: | NJ |
Postal Code: | 079363110 |
Phone Number: | 9737928785 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2015 |
NPI Last Update Date: | 04/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 26NJ00550500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |