Provider Demographics
NPI:1073890562
Name:TWOMBLY, JOAN ANDERSEN (NP-C)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ANDERSEN
Last Name:TWOMBLY
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Gender:F
Credentials:NP-C
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Mailing Address - Street 1:5525 RESEARCH PARK DR FL 4
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4873
Mailing Address - Country:US
Mailing Address - Phone:973-831-3540
Mailing Address - Fax:973-831-3503
Practice Address - Street 1:1 CEDAR CREST VILLAGE DR
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444
Practice Address - Country:US
Practice Address - Phone:973-831-3540
Practice Address - Fax:973-831-3503
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2023-01-12
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Provider Licenses
StateLicense IDTaxonomies
CT004669363LP2300X
NJ26NJ00337400363LP2300X
VT101.0135933FCTY363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care