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NPI Code Detail

MEDICARE: MRS. CHRISTINE GAIL WHELAN NNP

MEDICARE: MRS. CHRISTINE GAIL WHELAN NNP
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
1363LN0005XCritical Care Neonatal Nurse Practitioner26NN08004100NJ

General Provider Information

NPI Number : 1518015387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE GAIL WHELAN NNP
Provider Business Mailing Address
First Line : 2 CRESCI BLVD
Second Line :
City : HAZLET
State : NJ
Zip : 07730-1133
Country : US
Telephone Number : 732-264-9331
Fax Number :
Provider Business Practice Location Address
First Line : 255 3RD AVE
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6214
Country : US
Telephone Number : 732-923-7792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/08/2007

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