Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | NAG1-0434-7415 | NJ |
NPI | 1093269813 |
---|---|
Provider Name | Miss Sandra Nagy |
First Address | Perth Amboy, NJ 08861-3647 |
Second Address | Perth Amboy, NJ 08861-3647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2016 |
Last Update Date | 10/08/2016 |