Doctor Name: | MS. CHRISTINE DAISEY |
NPI Number: | 1487917910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 26NJ00361200 |
Business Practice Address: | 5401 Harding Hwy Suite 5 Mays Landing, NJ - 08330 |
Business Phone Number: | 6099090200 |
Business Fax Number: | 6099090267 |
Mailing Address: | 5401 Harding Hwy, Suite 5 MAYS LANDING |
State: | NJ |
Postal Code: | 08330 |
Phone Number: | 6099090200 |
Fax Number: | 6099090267 |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00361200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |