Active NPIIndividual provider

Courtney E Hennelly, APN

Nurse Practitioner, Family in Basking Ridge, New Jersey

NPI Number1265623763
Practice location
136 Mountainview Blvd, Basking Ridge, NJ 07920-3444
Fax
908-542-3211
Last updated
March 21, 2012

Courtney Elizabeth Hennelly is a Nurse Practitioner, Family based in Basking Ridge, NJ. Courtney Elizabeth Hennelly practices in Basking Ridge, NJ and has the professional credentials of APN. The NPI Number for Courtney Elizabeth Hennelly is 1265623763 and holds a License No. 26NJ00345800 (NJ). The current practice location address for Courtney Elizabeth Hennelly is 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 and can be reached out via phone at 908-542-3500 and via fax at 908-542-3211.

Provider Profile Details

NPI Number
1265623763
Provider Name
Courtney Elizabeth Hennelly
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
136 Mountainview Blvd, Basking Ridge, NJ 07920-3444
Phone Number
908-542-3500
Fax Number
908-542-3211
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2007
Last Update Date
March 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
136 Mountainview Blvd
Basking Ridge, NJ 07920-3444
Zip
07920-3444
Phone Number
908-542-3500
Fax Number
908-542-3211
Basking Ridge, NJ 07920Get directions →

Provider Business Mailing Address Details

Address
136 Mountainview Blvd
Basking Ridge, NJ 07920-3444
City
Basking Ridge
State
NJ
Zip
07920-3444
Phone Number
908-542-3500
Fax Number
908-542-3211

License Information

License Number (1)
26NJ00345800
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
33 334424
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Courtney E Hennelly, APN?

The NPI number of Courtney E Hennelly, APN is 1265623763. It was assigned on August 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Courtney E Hennelly, APN?

Courtney E Hennelly, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00345800.

Where does Courtney E Hennelly, APN practice?

The practice location is 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444. The office can be reached at 908-542-3500 (phone) or 908-542-3211 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265623763 directly on the NPPES registry website.

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