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Kim Marie Mydosh, MS,RN,APN,C
Psychiatric/Mental Health Clinical Nurse Specialist in Summit, New Jersey
NPI 1871768531

Kim Marie Mydosh is a Psychiatric/Mental Health Clinical Nurse Specialist based in Summit, NJ and is specialized in Psychiatric/Mental Health. Kim Marie Mydosh practices in Summit, NJ and has the professional credentials of MS,RN,APN,C. The NPI Number for Kim Marie Mydosh is 1871768531 and holds a License No. NO088227 (New Jersey).

The current practice location address for Kim Marie Mydosh is 48 Maple St, Summit, NJ and can be reached out via phone at 973-479-2551.

Location: 48 Maple St, Summit, NJ, 07901-2536
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Provider Profile Details
NPI Number
1871768531
Provider Name
Kim Marie Mydosh
Credential
MS,RN,APN,C
Provider Entity Type
Individual
Gender
Female
Address
48 Maple St, Summit, NJ, 07901-2536
Phone Number
973-479-2551
Fax Number
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6631304 05 NJ
institution
Provider Business Practice Location Address Details
Address
48 Maple St
City
State
Zip
07901-2536
Phone Number
973-479-2551
Fax Number
person
Provider Business Mailing Address Details
Address
48 Maple St
City
State
Zip
07901-2536
Phone Number
973-479-2551
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
NO088227 (New Jersey)
Definition
Definition to come...
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