KATRINA SAN JUAN


Address: 61 Barberry Ct, Lawrence, NJ 08648-4821
Phone: 7322133217

KATRINA SAN JUAN (NPI# 1770067985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770067985
Entity Type Individual
Full Name KATRINA SAN JUAN
Credential APN
Practice Address 61 Barberry Ct
Lawrence
NJ 08648-4821
Practice Telephone 7322133217
Mailing Telephone 7322133217
Enumeration Date 2018-09-24
Last Update Date 2018-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F09180953 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 61 BARBERRY CT
City LAWRENCE
State NJ
Zip Code 08648-4821

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649889312 Brittany Renee Horn Nurse Practitioner 2510 W 9th Ter, Lawrence, KS 66049-2600 2020-07-28
1154944148 Shira Wender Nurse Practitioner 23 Rockaway Tpke, Lawrence, NY 11559-1818 2020-05-25
1669002978 Charles J Leistner IIi Nurse Practitioner 776 E 1485 Rd, Lawrence, KS 66046-9265 2020-01-26
1760945497 Brian Carpenter Nurse Practitioner 290 Merrimack St Ste 242, Lawrence, MA 01843-1783 2019-04-10
1043738008 Kathy Lynn Ramirez Nurse Practitioner 330 Arkansas St Ste 205, Lawrence, KS 66044-1485 2017-08-30
1508392564 Samantha Durland Nurse Practitioner 1112 W 6th St Ste 210b, Lawrence, KS 66044-2215 2017-05-11
1750761714 Crystal Sciarrino Nurse Practitioner 1049 E 1600 Rd, Lawrence, KS 66046-9276 2015-06-04
1457656787 Allison Mary Veeder Nurse Practitioner 1316 Morgan Ct, Lawrence, KS 66049-3967 2011-01-18
1003110446 Miriam Colleen Slaugh Nurse Practitioner 330 Arkansas Suite 120, Lawrence, KS 66044 2010-12-28
1407098403 Andrea Lynne Crespo Nurse Practitioner 1 General St., Lawrence General Hospital, Emergency Department, Lawrence, MA 01842 2009-04-06
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Competitor

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City LAWRENCE
Zip Code 08648

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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