MEDICARE: MRS. KAREN NAUTA HEALY 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	207V00000X	Obstetrics & Gynecology Physician	26NN06828200	NJ

General Provider Information

NPI Number	:	1588659346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN NAUTA HEALY NP

Provider Business Mailing Address
First Line	:	111 MADISON AVE
Second Line	:	STE 311
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6097
Country	:	US
Telephone Number	:	973-971-9950
Fax Number	:	973-971-9958

Provider Business Practice Location Address
First Line	:	111 MADISON AVE
Second Line	:	STE 311
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6097
Country	:	US
Telephone Number	:	973-971-9950
Fax Number	:	973-971-9958

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

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	07/08/2007

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