Provider Demographics
NPI:1275522658
Name:DUFFY, CATHLEEN ANNE (MSN, APN)
Entity Type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:ANNE
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 RED VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08510-1402
Mailing Address - Country:US
Mailing Address - Phone:609-259-5539
Mailing Address - Fax:
Practice Address - Street 1:300 CANDLEWOOD COMMONS
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2170
Practice Address - Country:US
Practice Address - Phone:732-370-9600
Practice Address - Fax:732-370-9656
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07033300363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics