ANITA MARIE BASENESE RN, NP, APN-C
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1932411857- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN, NP, APN-C
- Status
- Active
Contact & Location
- Address
- 223 N VAN DIEN AVE, RIDGEWOOD, NJ, 074502726
- Phone
- (201) 447-8000
- Fax
- (201) 447-8014
Specialties & Taxonomies
Nurse Practitioner
License: NJ #26NO0011435800
Nurse Practitioner
License: NY #F440016-1
Nurse Practitioner
License: NY #545216-1
Nurse Practitioner
Primary License: NJ #26NJ00169700