Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 26NJ00873800 | NJ |
NPI | 1003381724 |
---|---|
Provider Name | Mrs. Emily Katherine Warias |
First Address | Pennington, NJ 08534-2520 |
Second Address | Pennington, NJ 08534-2520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2018 |
Last Update Date | 25/05/2021 |