Active NPIIndividual providerSole proprietor

Kaitlyn Ettinger

Registered Nurse, Medical-Surgical in Glen Ridge, New Jersey

NPI Number1427702075
Practice location
946 Bloomfield Ave, Glen Ridge, NJ 07028-1308
Fax
—
Last updated
February 11, 2022

Kaitlyn Ettinger is a Registered Nurse, Medical-Surgical based in Glen Ridge, NJ. Kaitlyn Ettinger practices in Glen Ridge, NJ. The NPI Number for Kaitlyn Ettinger is 1427702075 and holds a License No. 26NR17595100 (NJ). The current practice location address for Kaitlyn Ettinger is 946 Bloomfield Ave, Glen Ridge, NJ 07028-1308 and can be reached out via phone at 973-743-1121.

Provider Profile Details

NPI Number
1427702075
Provider Name
Kaitlyn Ettinger
Provider Entity Type
Individual
Gender
Female
Address
946 Bloomfield Ave, Glen Ridge, NJ 07028-1308
Phone Number
973-743-1121
Primary Taxonomy
Registered Nurse, Medical-Surgical · 163WM0705X
Sole Proprietor
Yes
Provider Enumeration Date
February 11, 2022
Last Update Date
February 11, 2022
Certification Date
February 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
946 Bloomfield Ave
Glen Ridge, NJ 07028-1308
Zip
07028-1308
Phone Number
973-743-1121
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
5305 Tudor Dr
Pompton Plains, NJ 07444-1121
City
Pompton Plains
State
NJ
Zip
07444-1121
Phone Number
973-580-4453

License Information

License Number
26NR17595100
License State
NJ
Taxonomy
Registered Nurse, Medical-Surgical · 163WM0705X · 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 Kaitlyn Ettinger?

The NPI number of Kaitlyn Ettinger is 1427702075. It was assigned on February 11, 2022 and is currently active in the NPPES registry.

What is the specialty of Kaitlyn Ettinger?

Kaitlyn Ettinger is registered under the primary taxonomy Registered Nurse, Medical-Surgical (code 163WM0705X), licensed in NJ under license number 26NR17595100.

Where does Kaitlyn Ettinger practice?

The practice location is 946 Bloomfield Ave, Glen Ridge, NJ 07028-1308. The office can be reached at 973-743-1121 (phone).

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 1427702075 directly on the NPPES registry website.

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