MEDICARE: NOREEN M HARTNETT

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
1	363LF0000X	Family Nurse Practitioner	26NJ01103300	NJ

General Provider Information

NPI Number	:	1407636699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOREEN M HARTNETT

Provider Business Mailing Address
First Line	:	12 YORK RD
Second Line	:
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-5812
Country	:	US
Telephone Number	:	201-207-9196
Fax Number	:

Provider Business Practice Location Address
First Line	:	1083 GOFFLE RD # 2025
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-2013
Country	:	US
Telephone Number	:	973-427-2421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

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Directions to “ NOREEN M HARTNETT ” Practice Location

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