Active NPIIndividual provider

Ellen Vanderstad, APN

Nurse Practitioner, Family in Montville, New Jersey

NPI Number1386012979
Practice location
137 Main RD, Suite 200, Montville, NJ 07045-9231
Fax
973-402-0508
Last updated
May 5, 2016

Ellen Vanderstad is a Nurse Practitioner, Family based in Montville, NJ. Ellen Vanderstad practices in Montville, NJ and has the professional credentials of APN. The NPI Number for Ellen Vanderstad is 1386012979 and holds a License No. 26NJ00588600 (NJ). The current practice location address for Ellen Vanderstad is 137 Main RD, Suite 200, Montville, NJ 07045-9231 and can be reached out via phone at 973-402-0025 and via fax at 973-402-0508.

Provider Profile Details

NPI Number
1386012979
Provider Name
Ellen Vanderstad
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
137 Main RD, Suite 200, Montville, NJ 07045-9231
Phone Number
973-402-0025
Fax Number
973-402-0508
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2015
Last Update Date
May 5, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
137 Main RD
Suite 200
Montville, NJ 07045-9231
Zip
07045-9231
Phone Number
973-402-0025
Fax Number
973-402-0508
Montville, NJ 07045Get directions →

Provider Business Mailing Address Details

Address
137 Main RD
Ste 200
Montville, NJ 07045-9231
City
Montville
State
NJ
Zip
07045-9231
Phone Number
973-703-0018

License Information

License Number
26NJ00588600
License State
NJ
Taxonomy
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 Ellen Vanderstad, APN?

The NPI number of Ellen Vanderstad, APN is 1386012979. It was assigned on September 13, 2015 and is currently active in the NPPES registry.

What is the specialty of Ellen Vanderstad, APN?

Ellen Vanderstad, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00588600.

Where does Ellen Vanderstad, APN practice?

The practice location is 137 Main RD, Suite 200, Montville, NJ 07045-9231. The office can be reached at 973-402-0025 (phone) or 973-402-0508 (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 1386012979 directly on the NPPES registry website.

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