Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 26NJ00534700 | NJ |
N | 363LP0200X | Nurse Practitioner - Pediatrics | R184320 | MD |
NPI | 1003210865 |
---|---|
Provider Name | Mrs. Courtney Elizabeth Resciniti |
First Address | Tinton Falls, NJ 07701-4947 |
Second Address | New Brunswick, NJ 08901-1962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2014 |
Last Update Date | 23/07/2021 |