Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM MARIE MYDOSH, MS,RN,APN,C
Active Sole ProprietorKIM MARIE MYDOSH, MS,RN,APN,C is a Psychiatric/Mental Health, Community CNS healthcare provider located in SUMMIT, New Jersey. NPI 1871768531 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · SUMMIT, NJ
Registration Details
- NPI Number
- 1871768531
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2008 (18.288647083474 yrs)
- Last Updated
- May 13, 2008
- License
-
NO088227 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
48 MAPLE STSUMMIT, NJ, 079012536Browse NJ providers · Browse ZIP 07901
- Phone
- 9734792551
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
Other Psychiatric/Mental Health, Community CNS Providers in SUMMIT, NJ
| Name | Credential | NPI |
|---|---|---|
| BARBARA BRENNAN FERGUSON | PHD APN C | 1326058595 |
| MS. MARY C SANTORELLI | APN | 1518027622 |
| DENISE DALEY | APN | 1801592084 |
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.