Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 26NJ00225900 | NJ |
NPI | 1003046913 |
---|---|
Provider Name | B Denise Hemby |
First Address | Seaville, NJ 08230 |
Second Address | Cape May Court House, NJ 08210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2009 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0216313 | (05) | NJ |