Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIRKWOOD BODDEN SR.
Active Sole ProprietorMR. KIRKWOOD BODDEN SR. is a Nurse Practitioner healthcare provider located in NEWARK, New Jersey. NPI 1497237796 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · NEWARK, NJ
Registration Details
- NPI Number
- 1497237796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2018 (7.9748979217035 yrs)
- Last Updated
- Oct 23, 2019
- Licenses
-
26NJ00644200 (NJ)26NR16031700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 BERGEN STNEWARK, NJ, 071032496Browse NJ providers · Browse ZIP 07103
- Phone
- 9739726000
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| SOCORRO I. GALANO-ROGERS | APN-C | 1780615443 |
| MRS. REGINA MARIE SCUTTI | RN APN C | 1679676746 |
| MRS. IMELDA DE VERA GUIMARY | NP | 1073687760 |
| MRS. GAIL BAKER | APN | 1639204043 |
| MS. PATRICIA ANN PANFILE | APN | 1912022898 |
| MR. HASSAN AYYASH | — | 1336351303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.