Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NN06691000 | NJ |
NPI | 1003822479 |
---|---|
Provider Name | Sara M Neyers |
First Address | Mays Landing, NJ 08330-1670 |
Second Address | Pomona, NJ 08240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/07/2007 |