Provider Demographics
NPI:1326246943
Name:KURTZ, SANDRA JANET (RN)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:JANET
Last Name:KURTZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E WYOMING AVE
Mailing Address - Street 2:1ST FLOOR REAR
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-1732
Mailing Address - Country:US
Mailing Address - Phone:609-272-3170
Mailing Address - Fax:
Practice Address - Street 1:160 E WYOMING AVE
Practice Address - Street 2:1ST FLOOR REAR
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1732
Practice Address - Country:US
Practice Address - Phone:609-272-3170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR12756100163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse