Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NC04821100 | NJ |
NPI | 1013078906 |
---|---|
Provider Name | Karen Marie Kaschak |
First Address | Cape May, NJ 08204-2520 |
Second Address | Cape May Court House, NJ 08210-1651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S83499 | (02) |