Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NN0915700 | NJ |
NPI | 1598730038 |
---|---|
Provider Name | Denise A Handy-Burnham |
First Address | Oakhurst, NJ 07755-1515 |
Second Address | Oakhurst, NJ 07755-1515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 06/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S63337 | (02) | NJ |