Active NPIIndividual providerSole proprietor

Kim M Mydosh, MS, RN, APN, C

Clinical Nurse Specialist, Psych/Mental Health in Summit, New Jersey

NPI Number1871768531
Practice location
48 Maple St, Summit, NJ 07901-2536
Fax
—
Last updated
May 13, 2008

Kim Marie Mydosh is a Clinical Nurse Specialist, Psych/Mental Health based in Summit, NJ. 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 (NJ). The current practice location address for Kim Marie Mydosh is 48 Maple St, Summit, NJ 07901-2536 and can be reached out via phone at 973-479-2551.

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
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2008
Last Update Date
May 13, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Maple St
Summit, NJ 07901-2536
City
Summit
Zip
07901-2536
Phone Number
973-479-2551
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
48 Maple St
Summit, NJ 07901-2536
City
Summit
State
NJ
Zip
07901-2536
Phone Number
973-479-2551

License Information

License Number
NO088227
License State
NJ
Taxonomy
Clinical Nurse Specialist, Psych/Mental Health · 364SP0808X · 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 Kim M Mydosh, MS, RN, APN, C?

The NPI number of Kim M Mydosh, MS, RN, APN, C is 1871768531. It was assigned on April 24, 2008 and is currently active in the NPPES registry.

What is the specialty of Kim M Mydosh, MS, RN, APN, C?

Kim M Mydosh, MS, RN, APN, C is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health (code 364SP0808X), licensed in NJ under license number NO088227.

Where does Kim M Mydosh, MS, RN, APN, C practice?

The practice location is 48 Maple St, Summit, NJ 07901-2536. The office can be reached at 973-479-2551 (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 1871768531 directly on the NPPES registry website.

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