Provider Demographics
NPI:1588659346
Name:HEALY, KAREN NAUTA (NP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:NAUTA
Last Name:HEALY
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:111 MADISON AVE
Mailing Address - Street 2:STE 311
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6097
Mailing Address - Country:US
Mailing Address - Phone:973-971-9950
Mailing Address - Fax:973-971-9958
Practice Address - Street 1:111 MADISON AVE
Practice Address - Street 2:STE 311
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6097
Practice Address - Country:US
Practice Address - Phone:973-971-9950
Practice Address - Fax:973-971-9958
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN06828200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ064752MWNMedicare ID - Type Unspecified