MEDICARE: DONNA ILARDI NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	26N007694700	NJ

General Provider Information

NPI Number	:	1083611305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA ILARDI NP

Provider Business Mailing Address
First Line	:	95 MADISON AVE
Second Line	:	SUITE 409
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6092
Country	:	US
Telephone Number	:	973-401-1100
Fax Number	:	973-401-1201

Provider Business Practice Location Address
First Line	:	95 MADISON AVE
Second Line	:	SUITE 409
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6092
Country	:	US
Telephone Number	:	973-401-1100
Fax Number	:	973-401-1201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/08/2007

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Directions to “ DONNA ILARDI NP” Practice Location

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