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NPI Code Detail

MEDICARE: MRS. KATHLEEN M. BIANCO APN

MEDICARE: MRS. KATHLEEN M. BIANCO APN
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist26NC07333400NJ

General Provider Information

NPI Number : 1861416083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN M. BIANCO APN
Provider Business Mailing Address
First Line : 340 SPRING ST
Second Line :
City : UPPER SADDLE RIVER
State : NJ
Zip : 07458-2217
Country : US
Telephone Number : 201-934-6505
Fax Number :
Provider Business Practice Location Address
First Line : 610 VALLEY HEALTH PLZ
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-3607
Country : US
Telephone Number : 201-265-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/08/2007

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