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Georgette Wilson-granby
Adult Health Nurse Practitioner in Newark, New Jersey
NPI 1548311434

Georgette Wilson-granby is an Adult Health Nurse Practitioner based in Edison, NJ and is specialized in Adult Health. Georgette Wilson-granby practices in Newark, NJ. The NPI Number for Georgette Wilson-granby is 1548311434 and holds a License No. 302415 (New Jersey).

The current practice location address for Georgette Wilson-granby is 111 Central Ave, Newark, NJ and can be reached out via phone at 973-877-5452 and via fax at 973-877-5454.

Location: 111 Central Ave, Newark, NJ, 08817-2552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548311434
Provider Name
Georgette Wilson-granby
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ, 08817-2552
Phone Number
973-877-5452
Fax Number
973-877-5454
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
973-877-5452
Fax Number
973-877-5454
person
Provider Business Mailing Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
973-877-5452
Fax Number
973-877-5454
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
302415 (New York)
Definition
Definition to come...
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