Doctor Name: | AMY TOWNSEND RIORDAN |
NPI Number: | 1497121552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ0013000 |
Business Practice Address: | 5401 Harding Hwy Suite 3 Mays Landing, NJ - 083302243 |
Business Phone Number: | 6093656217 |
Business Fax Number: | 6096531439 |
Mailing Address: | 5401 Harding Hwy, Suite 3 MAYS LANDING |
State: | NJ |
Postal Code: | 083302243 |
Phone Number: | 6093656217 |
Fax Number: | 6096531439 |
NPI Enumeration Date: | 08/12/2015 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ0013000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |