Healthcare Provider Details

I. General information

NPI: 1700874534
Provider Name (Legal Business Name): JOAN MARIE GALBRAITH APN,C
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 MADISON AVE
MADISON NJ
07940-1434
US

IV. Provider business mailing address

7 BRANDYWINE TER
MORRISTOWN NJ
07960-3529
US

V. Phone/Fax

Practice location:
  • Phone: 973-408-3414
  • Fax: 973-408-3031
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNN72008
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: