Connolly-Detura, Patricia Mary

Connolly-Detura, Patricia Mary is an sole proprietor health care provider with primary practice located at 114 E Clinton Ave , Bergenfield NJ 07621-3024. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Homeopath, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Connolly-Detura, Patricia Mary can be contacted via phone (201) 384-4955.

Contact Information

Primary practice address
114 E Clinton Ave Bergenfield NJ 07621-3024
Phone: (201) 384-4955
Fax: (201) 384-2559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NR05601200 New Jersey
Nursing Service Providers / Registered Nurse 163W00000X 344654-1 New York
Other Service Providers / Homeopath 175L00000X
Other Service Providers / Midwife 176B00000X 25ME00016101 New Jersey
Other Service Providers / Midwife 176B00000X F000634-1 New York

Profile Details

NPI number 1942446893
LBN Legal business name Connolly-Detura, Patricia Mary
Credentials R.N., C.N.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2008
Last updated Sep 12th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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