Individual provider · NPI-1

Debra Ann Neretich, RN, APN

Nurse Practitioner, Pediatrics · Livingston, NJ

NPI number1750501706

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1750501706
Entity type: Individual (NPI-1)
Name: Mrs. Debra Ann Neretich
Credential: RN, APN
Sex: Female
Sole proprietor: No
Enumeration date: May 1, 2007
Last updated: Jul 8, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	26NN09741000	NJ	Yes

Practice location

94 Old Short Hills Rd
1st Floor East Wing Suite 182
Livingston, NJ 07039-5672

Phone 973-322-8096 · Fax 973-322-2856

Mailing address

69 Goodluck St
Edison, NJ 08820-2442

Phone 973-322-8096 · Fax 973-322-2856

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