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NPI Code Detail

MEDICARE: MS. MARY MARGARET CULLEN-DRILL RN, APN, C

MEDICARE:  MS. MARY MARGARET CULLEN-DRILL  RN, APN, C
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist26NC07979500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851358212
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY MARGARET CULLEN-DRILL RN, APN, C
Provider Business Mailing Address
First Line : 48 EDGEMONT RD
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2305
Country : US
Telephone Number : 973-744-5133
Fax Number : 973-744-7163
Provider Business Practice Location Address
First Line : 51 UPPER MONTCLAIR PLZ
Second Line : SUITE 21
City : UPPER MONTCLAIR
State : NJ
Zip : 07043-1343
Country : US
Telephone Number : 973-477-8628
Fax Number : 973-744-7163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 07/08/2007

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