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General NPI Number Information
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NPI Number | 1780056119
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Entity Type | Individual
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Provider Name | VANAJA MOHAN APN-C
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Gender | Female
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Dates
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Enumeration Date | 10/25/2015
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Last Update Date | 10/25/2015
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Provider Practice Location Address
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Address Line | 252 ROUTE 601
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City | BELLE MEAD
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State | NJ
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Zip | 08502-3923
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Country | US
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Telephone | 908-281-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 319 OLD YORK RD
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2677
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Country | US
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Telephone | 908-655-5935
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00587900
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License Number State | NJ
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