MS. DIANE KENEALY


Address: 6 Spruce Dr, East Brunswick, NJ 08816-2017
Phone: 7324707908

MS. DIANE KENEALY (NPI# 1154409332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154409332
Entity Type Individual
Full Name MS. DIANE KENEALY
Credential RN NNP
Practice Address 6 Spruce Dr
East Brunswick
NJ 08816-2017
Practice Telephone 7324707908
Mailing Telephone 7324707908
Enumeration Date 2006-11-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
26NN09780100 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6 SPRUCE DR
City EAST BRUNSWICK
State NJ
Zip Code 08816-2017

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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

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1689649758 Barbara Susan Wieder Nurse Practitioner 161 Vista Dr, Cedar Knolls, NJ 07927-2025 2006-02-21
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Competitor

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City EAST BRUNSWICK
Zip Code 08816

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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