Provider Demographics
NPI:1619938610
Name:CHERWINSKI, KATHLEEN M (RN, APNC, MPH, CIC)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:M
Last Name:CHERWINSKI
Suffix:
Gender:F
Credentials:RN, APNC, MPH, CIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 HOES LN
Mailing Address - Street 2:UNIVERSITY BEHAVIORAL HEALTHCARE, ROOM C-202
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5627
Mailing Address - Country:US
Mailing Address - Phone:732-235-2129
Mailing Address - Fax:732-235-2101
Practice Address - Street 1:671 HOES LN
Practice Address - Street 2:UNIVERSITY BEHAVIORAL HEALTHCARE, ROOM C-202
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5627
Practice Address - Country:US
Practice Address - Phone:732-235-2129
Practice Address - Fax:732-235-2101
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO06576300163WP0808X
NJ26NN06576300363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S79059Medicare UPIN
026652Medicare ID - Type Unspecified