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NPI Code Detail

MEDICARE: MS. ANITA DRIESEL RN

MEDICARE: MS. ANITA DRIESEL RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseNO09234500NJ

General Provider Information

NPI Number : 1073655148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANITA DRIESEL RN
Provider Business Mailing Address
First Line : 13-15 CANTERBURY AVENUE
Second Line :
City : NORTH ARLINGTON
State : NJ
Zip : 07031
Country : US
Telephone Number : 201-991-8387
Fax Number :
Provider Business Practice Location Address
First Line : 108 ALDEN ST
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-2131
Country : US
Telephone Number : 908-497-3987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 04/12/2026

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