Healthcare Provider Details

I. General information

NPI: 1164726782
Provider Name (Legal Business Name): AMARJIT SETHI LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2010
Last Update Date: 12/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 WOODLAND DR.
PLAINSBORO NJ
08536
US

IV. Provider business mailing address

48 WOODLAND DR
PLAINSBORO NJ
08536-2052
US

V. Phone/Fax

Practice location:
  • Phone: 609-919-0747
  • Fax: 609-919-0747
Mailing address:
  • Phone: 609-919-0747
  • Fax: 609-919-0747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number3023388
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number3102388
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number302388
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: