Healthcare Provider Details

I. General information

NPI: 1528351152
Provider Name (Legal Business Name): PATRICIA BARRON APN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2011
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 COLUMBIA TPKE STE 102
FLORHAM PARK NJ
07932-1209
US

IV. Provider business mailing address

256 COLUMBIA TPKE STE 102
FLORHAM PARK NJ
07932-1209
US

V. Phone/Fax

Practice location:
  • Phone: 973-460-4566
  • Fax: 718-761-3162
Mailing address:
  • Phone: 973-460-4566
  • Fax: 718-761-3162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number26NO07313300
License Number StateNJ

VIII. Authorized Official

Name: MS. PATRICIA BARRON
Title or Position: OWNER
Credential: APN
Phone: 973-460-4566