Provider Demographics
NPI:1598818478
Name:AMSDEN, MARIA P (NP, RN, RNFA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:P
Last Name:AMSDEN
Suffix:
Gender:F
Credentials:NP, RN, RNFA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:DEURLOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP, RN, RNFA
Mailing Address - Street 1:24 PADEREWSKI RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-9318
Mailing Address - Country:US
Mailing Address - Phone:973-831-5000
Mailing Address - Fax:973-831-5318
Practice Address - Street 1:97 W PARKWAY
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1647
Practice Address - Country:US
Practice Address - Phone:973-831-5140
Practice Address - Fax:973-831-5318
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07925100363AS0400X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner