Kim Marie Mydosh in Summit - Psychiatric/mental Health

Kim Marie Mydosh - NPI 1871768531

Kim Marie Mydosh is a Psychiatric/mental Health in Summit, New Jersey. Kim Marie Mydosh practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Kim Marie Mydosh is 1871768531. The last update date is 2008-05-13.

Kim Marie Mydosh's current location address is 48 Maple St, Summit, New Jersey. You can contact this provider via phone number 9734792551. The mailing address for Kim Marie Mydosh is 48 Maple St, Summit, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Marie Mydosh
Address 48 Maple St, Summit, New Jersey
Phone Number 9734792551
Fax Number
Sole Proprietor Y
Credentials MS,RN,APN,

NPI Number Detail

NPI Number 1871768531
Provider Enumeration Date 2008-04-24
Last Updated Date 2008-05-13

Provider Mailing Address Detail

Address 48 Maple St
City Summit
State New Jersey (NJ)
Post Code 79012536
Phone Number 9734792551
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 364Sp0808X
Licence No NO088227
Definition:
An advanced practice registered nurse expert in psychiatric and mental health nursing care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6631304 NJ --

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FAQs about Kim Marie Mydosh

What is the unique identifier code issued to Kim Marie Mydosh by the Centers for Medicare & Medicaid Services?

The Kim Marie Mydosh has been assigned the NPI (National Provider Identifier) 1871768531. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kim Marie Mydosh's facilities are geographically located?

The facilities of Kim Marie Mydosh are physically situated at the following location: 48 Maple St, Summit, NJ, 79012536.

What is Kim Marie Mydosh's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kim Marie Mydosh's area of specialization is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this field of practice is 364Sp0808X.

On what date did Kim Marie Mydosh receive its 1871768531 assignment from the Centers for Medicare & Medicaid Services?

The Kim Marie Mydosh was assigned its 1871768531 on 2008-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Kim Marie Mydosh's information last updated?

The Kim Marie Mydosh's information was last updated on 2008-05-13.

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