Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00612000 | NJ |
N | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00612000 | NJ |
NPI | 1033568290 |
---|---|
Provider Name | Stephanie Szylar |
First Address | Fords, NJ 08863 |
Second Address | Fords, NJ 08863-1428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2016 |
Last Update Date | 08/06/2016 |