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Mr. Kirkwood Bodden SR.
Nurse Practitioner in Newark, New Jersey
NPI 1497237796

Kirkwood Bodden SR. is a Nurse Practitioner based in Bridgewater, NJ. Kirkwood Bodden SR. practices in Newark, NJ. The NPI Number for Kirkwood Bodden SR. is 1497237796 and holds a License No. 26NJ00644200 (New Jersey).

The current practice location address for Kirkwood Bodden SR. is 150 Bergen St, Newark, NJ and can be reached out via phone at 973-972-6000.

Location: 150 Bergen St, Newark, NJ, 08807-3558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497237796
Provider Name
Kirkwood Bodden SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, Newark, NJ, 08807-3558
Phone Number
973-972-6000
Fax Number
Provider Enumeration Date
09/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Bergen St
City
Newark
State
New Jersey
Zip
07103-2496
Phone Number
973-972-6000
Fax Number
person
Provider Business Mailing Address Details
Address
150 Bergen St
City
Newark
State
New Jersey
Zip
07103-2496
Phone Number
973-972-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
26NR16031700 (New Jersey)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
26NJ00644200 (New Jersey)
Definition
Definition to come...
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