Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00977300 | NJ |
NPI | 1013551175 |
---|---|
Provider Name | Ms. Amanda Marie Golaszewski |
First Address | Morris Plains, NJ 07950-2624 |
Second Address | Morris Plains, NJ 07950-2624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2019 |
Last Update Date | 01/11/2019 |