Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. EDITA PETILOS LUANSING, WHNP-BC
ActiveMRS. EDITA PETILOS LUANSING, WHNP-BC is a Women's Health Nurse Practitioner healthcare provider located in RIDGEWOOD, New Jersey. NPI 1598141053 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · RIDGEWOOD, NJ
Registration Details
- NPI Number
- 1598141053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2015 (10.989042076088 yrs)
- Last Updated
- Apr 13, 2021
- License
-
26NJ00576300 (NJ)
Practice Information
- Address
-
317 FRANKLIN AVERIDGEWOOD, NJ, 074503316Browse NJ providers · Browse ZIP 07450
- Phone
- 2014471620
- Fax
- 2014474977
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
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.