Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | MB51179 | NJ |
NPI | 1134206857 |
---|---|
Provider Name | Sandra J Nairn |
First Address | Camden, NJ 08103-1438 |
Second Address | Camden, NJ 08103-1461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 24/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010006265 00 | AMERICHOICE (01) | NJ |
0507534000 | AMERIHEALTH/KEYSTONE/IBC (01) | NJ |
12103252 | UNITED HEALTHCARE (01) | NJ |
19053 | UNITED HEALTHCARE (01) | NJ |
3498050 | AETNA (01) | NJ |
60005652 | HORIZON NJ HEALTH (01) | NJ |
674203 | AMERIHEALTH PPO/PA BS (01) | NJ |
6759623 | CIGNA (01) | NJ |
6883800 | (05) | NJ |
E95068 | (02) | |
P3362562 | OXFORD (01) | NJ |