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NPI Code Detail

MEDICARE: KRISTINE M PRITSIOLAS ANP-BC

MEDICARE:   KRISTINE M PRITSIOLAS  ANP-BC
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
1363LA2200XAdult Health Nurse Practitioner26NJ00176800NJ

General Provider Information

NPI Number : 1932348596
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE M PRITSIOLAS ANP-BC
Provider Business Mailing Address
First Line : 13 PEBBLE BEACH DR
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-8206
Country : US
Telephone Number : 973-251-2082
Fax Number :
Provider Business Practice Location Address
First Line : 13 PEBBLE BEACH DR
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-8206
Country : US
Telephone Number : 973-251-2082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2009
Last Update Date : 02/05/2009

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Directions to “ KRISTINE M PRITSIOLAS ANP-BC” Practice Location

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