MEDICARE: LAURA PESCE APN-C

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	26NO07701000	NJ

General Provider Information

NPI Number	:	1215938386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA PESCE APN-C

Provider Business Mailing Address
First Line	:	100 MADISON AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6136
Country	:	US
Telephone Number	:	973-971-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MADISON AVE
Second Line	:	BOX 88
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6136
Country	:	US
Telephone Number	:	973-971-7200
Fax Number	:

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	08/26/2014

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Directions to “ LAURA PESCE APN-C” Practice Location

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