Provider Demographics
NPI:1639599780
Name:LIOBE, CASIMIERA (APN)
Entity Type:Individual
Prefix:
First Name:CASIMIERA
Middle Name:
Last Name:LIOBE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2390
Mailing Address - Country:US
Mailing Address - Phone:908-852-1887
Mailing Address - Fax:908-441-2187
Practice Address - Street 1:137 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2390
Practice Address - Country:US
Practice Address - Phone:908-852-1887
Practice Address - Fax:908-441-2187
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00423100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner