Active NPIIndividual provider

Mary E D'Entremont, ANP-BC

Nurse Practitioner in Glen Rock, New Jersey

NPI Number1982981858
Practice location
208 Harristown RD Ste 201, Glen Rock, NJ 07452-3306
Fax
—
Last updated
September 23, 2026

Mary Elizabeth D'Entremont is a Nurse Practitioner based in Glen Rock, NJ. Mary Elizabeth D'Entremont practices in Glen Rock, NJ and has the professional credentials of ANP-BC. The NPI Number for Mary Elizabeth D'Entremont is 1982981858 and holds a License No. F305439-1 (NY). The current practice location address for Mary Elizabeth D'Entremont is 208 Harristown RD Ste 201, Glen Rock, NJ 07452-3306 and can be reached out via phone at 833-615-2618.

Provider Profile Details

NPI Number
1982981858
Provider Name
Mary Elizabeth D'Entremont
Credential
ANP-BC
Provider Entity Type
Individual
Gender
Female
Address
208 Harristown RD Ste 201, Glen Rock, NJ 07452-3306
Phone Number
833-615-2618
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Other Names
Mary Elizabeth Fitzpatrick, ANP-BC (Former Name)
Provider Enumeration Date
November 7, 2011
Last Update Date
September 23, 2026
Certification Date
September 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
208 Harristown RD Ste 201
Glen Rock, NJ 07452-3306
Zip
07452-3306
Phone Number
833-615-2618
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
411 Northern Pkwy
Ridgewood, NJ 07450-1720
City
Ridgewood
State
NJ
Zip
07450-1720

License Information

License Number (1)
F305439-1
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NJ00674700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Mary E D'Entremont, ANP-BC?

The NPI number of Mary E D'Entremont, ANP-BC is 1982981858. It was assigned on November 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Mary E D'Entremont, ANP-BC?

Mary E D'Entremont, ANP-BC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NY under license number F305439-1.

Where does Mary E D'Entremont, ANP-BC practice?

The practice location is 208 Harristown RD Ste 201, Glen Rock, NJ 07452-3306. The office can be reached at 833-615-2618 (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 1982981858 directly on the NPPES registry website.

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