Healthcare Provider Details

I. General information

NPI: 1215957642
Provider Name (Legal Business Name): ANN ELIZBETH RHATICAN RN APNC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HANOVER AVE
CEDAR KNOLLS NJ
07927
US

IV. Provider business mailing address

5 MENDHAM RD
FAR HILLS NJ
07931
US

V. Phone/Fax

Practice location:
  • Phone: 973-401-2164
  • Fax:
Mailing address:
  • Phone: 908-234-1070
  • Fax: 973-543-0722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR03104800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number26NC03104800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: