Individual provider · NPI-1
Ethlyn Judy Harney, RN
Home Health Aide · Livingston, NJ
NPI number1184956294
StatusActive
Last updated in NPPESFeb 1, 2010
Details
- NPI
- 1184956294
- Entity type
- Individual (NPI-1)
- Name
- Ethlyn Judy Harney
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2010
- Last updated
- Feb 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | NJ | Yes |
| 163WH0200X | Registered Nurse, Home Health | 81nr81 | NJ | |
| 376J00000X | Homemaker | – | NJ | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
33 Lincoln AveLivingston, NJ 07039-2110
Phone 973-251-2258
Mailing address
33 Lincoln AveLivingston, NJ 07039-2110
Phone 973-251-2258
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