Healthcare Provider Details

I. General information

NPI: 1326034869
Provider Name (Legal Business Name): SHARI MICHELLE ISENBERG-COHEN R.N., A.P.N.,C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 10/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 MORRISTOWN RD
BASKING RIDGE NJ
07920-1654
US

IV. Provider business mailing address

16 BOGART DR
BRIDGEWATER NJ
08807-5763
US

V. Phone/Fax

Practice location:
  • Phone: 917-838-7854
  • Fax:
Mailing address:
  • Phone: 908-203-9121
  • Fax: 908-203-9121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberNN102852
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: