Charlene Erica King, NP
Nurse Practitioner, Family in Irvington, NJ. Individual provider (NPI-1).
NPI number1982107082
StatusActive
Last updated in NPPESMar 14, 2018
Details
- NPI
- 1982107082
- Entity type
- Individual (NPI-1)
- Name
- Charlene Erica King
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2018
- Last updated
- Mar 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00706100 | NJ | Yes |
Practice location
81 Stockman PlIrvington, NJ 07111-2764
Phone 973-807-2766
Mailing address
81 Stockman PlIrvington, NJ 07111-2764
Phone 973-807-2766
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