Nielsen, Kathleen Anne

Nielsen, Kathleen Anne is an individual health care provider with primary practice located at 15 State Route 15 , Lafayette NJ 07848-2007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Nielsen, Kathleen Anne can be contacted via phone (973) 579-6700.

Contact Information

Primary practice address
15 State Route 15 Lafayette NJ 07848-2007
Phone: (973) 579-6700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 26NC05144300 New Jersey

Profile Details

NPI number 1700970837
LBN Legal business name Nielsen, Kathleen Anne
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1700970837 NPPES
New Jersey MEDICAID 8483400

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