Lundquist, Kristina Marie

Lundquist, Kristina Marie is an sole proprietor health care provider with primary practice located at 305 Oldham Rd Preakness Health Care, Wayne NJ 07470-2208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lundquist, Kristina Marie can be contacted via phone (973) 904-5000.

Contact Information

Primary practice address
305 Oldham Rd Preakness Health Care Wayne NJ 07470-2208
Phone: (973) 904-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NN71040 New Jersey

Profile Details

NPI number 1225243124
LBN Legal business name Lundquist, Kristina Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225243124 NPPES
New Jersey MEDICAID 7565003

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