DIANE MICHELLE ANDERSON

HACKENSACK UNIVERSITY MEDICAL GROUP PC

Dr DIANE MICHELLE ANDERSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2010.

Contact

HACKENSACK UNIVERSITY MEDICAL GROUP PC

30 PROSPECT AVE
HACKENSACK
NJ
076011915

Tel: 5519965045

DIANE MICHELLE ANDERSON Information

Npi 1861759474
Pac Id 7719277961
Professional Enrollment Id I20190618000191
Last Name ANDERSON
First Name DIANE
Middle Name MICHELLE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HACKENSACK UNIVERSITY MEDICAL GROUP PC
Group Practice Pac Id 9133032519
Number Of Group Practice Members 233
Line 1 Street Address 30 PROSPECT AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HACKENSACK
State NJ
Zip Code 076011915
Phone Number 5519965045
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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