Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00063400 | NJ |
NPI | 1003092933 |
---|---|
Provider Name | Karen A Cueto |
First Address | West Orange, NJ 07052-1008 |
Second Address | West Orange, NJ 07052-1008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2008 |
Last Update Date | 26/04/2012 |