Marissa Gunderson
Nurse Practitioner - Community Health
572 Cookman Ave
Asbury Park
, New Jersey 07712-7102
Marissa Gunderson
Nurse Practitioner - Community Health
572 Cookman Ave
Asbury Park
, New Jersey 07712-7102
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Marissa Gunderson
- 500 Woodmere Ave
- Neptune, NJ
- Zip : 07753-5636
- Phone :
Second Address
- Marissa Gunderson
- 572 Cookman Ave
- Asbury Park, NJ
- Zip : 07712-7102
- Fax : (732) 774-8083
- Phone : (732) 774-6333
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FAQs
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Is Marissa Gunderson a sole practitioner?
Is Marissa Gunderson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 26NJ00021000 | NJ |
National Provider Identifier
| NPI | 1639122682 |
|---|---|
| Provider Name | Marissa Gunderson |
| First Address | Neptune, NJ 07753-5636 |
| Second Address | Asbury Park, NJ 07712-7102 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Q03711 | (02) | NJ |
| X5/19 | (05) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.