Provider Demographics
NPI:1407062003
Name:KERWICK, ALICE MARY (RN, APN,C)
Entity Type:Individual
Prefix:MS
First Name:ALICE
Middle Name:MARY
Last Name:KERWICK
Suffix:
Gender:F
Credentials:RN, APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-2407
Mailing Address - Country:US
Mailing Address - Phone:609-206-3080
Mailing Address - Fax:
Practice Address - Street 1:PRINCETON UNIVERSITY
Practice Address - Street 2:MCCOSH HEALTH CENTER
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08544-0001
Practice Address - Country:US
Practice Address - Phone:609-258-5035
Practice Address - Fax:609-258-0976
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR08374000163W00000X
NJ26NN08374000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse