Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00534000 | NJ |
NPI | 1013306786 |
---|---|
Provider Name | Julie Zavadenko Apn Llc |
First Address | River Vale, NJ 07675-6403 |
Second Address | River Vale, NJ 07675-6403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2015 |
Last Update Date | 17/12/2021 |