Provider Demographics
NPI:1376604330
Name:BITTNER, JUDITH ANDREWS (RN BSN CNOR RNFA)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANDREWS
Last Name:BITTNER
Suffix:
Gender:F
Credentials:RN BSN CNOR RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 E HURLEY POND RD
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9776
Mailing Address - Country:US
Mailing Address - Phone:732-280-1755
Mailing Address - Fax:
Practice Address - Street 1:2625 E HURLEY POND RD
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-9776
Practice Address - Country:US
Practice Address - Phone:732-280-1755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR05872800163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NR05872800OtherNURSING LICENSE
CA296498OtherNURSING LICENSE
NVRN10859OtherNURSING LICENSE