ELYSE FEARON
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1720896491
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Primary Care | 363LP2300X | No | 26NJ15226200 (NJ) |
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 26NJ15226200 (NJ) |
Frequently Asked Questions
NPI 1720896491 is the National Provider Identifier for ELYSE FEARON, a Nurse Practitioner - Gerontology provider located in Bloomfield, NJ. This NPI was enumerated on December 26, 2024.
ELYSE FEARON practices at 382 W PASSAIC AVE, Bloomfield, NJ 07003.
Quick Facts
- NPI
- 1720896491
- Type
- Individual
- Enumerated
- Dec 26, 2024
- Last Updated
- Dec 26, 2024
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