Provider Demographics
NPI:1275882078
Name:ORLOFSKI, KRISTEN BETH (CNM)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:BETH
Last Name:ORLOFSKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:BETH
Other - Last Name:SLADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 N CRANE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1507
Mailing Address - Country:US
Mailing Address - Phone:973-402-8895
Mailing Address - Fax:
Practice Address - Street 1:15 N CRANE RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1507
Practice Address - Country:US
Practice Address - Phone:973-402-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00051101367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife