Provider Demographics
NPI:1508926833
Name:GAFFNEY, KATHLEEN C (RN, CPNP, MSN (APRN))
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:C
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:RN, CPNP, MSN (APRN)
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:330 BURD ST
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2801
Mailing Address - Country:US
Mailing Address - Phone:609-737-1250
Mailing Address - Fax:609-396-6024
Practice Address - Street 1:832 BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-3829
Practice Address - Country:US
Practice Address - Phone:609-396-8877
Practice Address - Fax:609-396-6024
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN06562800363LP0200X
NJ26NC06562800363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health