Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 26NJ00766800 | NJ |
NPI | 1013421775 |
---|---|
Provider Name | Laura Natoli |
First Address | Cedar Grove, NJ 07009-1350 |
Second Address | Morristown, NJ 07960-7360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2017 |
Last Update Date | 16/11/2017 |