Female

Mrs. Elizabeth S. Petrides A.P.N.

Full Name

Mrs. Elizabeth S. Petrides A.P.N.

NPI Number

1649343567

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/16/2006

Specialties

(Taxonomies)

Code

363LA2100X
163W00000X

Primary Taxonomy

No
No

Licenses

State

New Jersey
New Jersey

License Number

NN110654
NO110654

Contact
Information

Purpose

Mailing
Location

Address

1551 DEER RUN DR
1945 STATE ROUTE 33

City

Manasquan
Neptune

State

NJ
NJ

Postal Code

08736-2501
07753-4859

Country

US
US

Telephone Number

N/A
(732) 775-5500

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address