Mrs. Tara Gerise Gleeson
Nurse Practitioner - Pediatrics
100 Madison Ave
Morristown
, New Jersey 07960-6136
Mrs. Tara Gerise Gleeson
Nurse Practitioner - Pediatrics
100 Madison Ave
Morristown
, New Jersey 07960-6136
(973) 290-7164
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Tara Gerise Gleeson
- 8 Linda Pl
- Denville, NJ
- Zip : 07834-1005
- Fax : (973) 290-7164
- Phone : (973) 586-0085
Second Address
- Mrs. Tara Gerise Gleeson
- 100 Madison Ave
- Morristown, NJ
- Zip : 07960-6136
- Fax : (973) 290-7164
- Phone : (973) 971-6473
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 26NN09086500 | NJ |
National Provider Identifier
| NPI | 1023233913 |
|---|---|
| Provider Name | Mrs. Tara Gerise Gleeson |
| First Address | Denville, NJ 07834-1005 |
| Second Address | Morristown, NJ 07960-6136 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2007 |
| Last Update Date | 08/07/2007 |
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.