Provider Demographics
NPI:1871838110
Name:PETERMAN, NATASHA ELLEN (APN)
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:ELLEN
Last Name:PETERMAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3322 ROUTE 22
Mailing Address - Street 2:BUILDING 13, SUITE 1302
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3476
Mailing Address - Country:US
Mailing Address - Phone:908-526-0700
Mailing Address - Fax:908-526-9988
Practice Address - Street 1:3322 ROUTE 22
Practice Address - Street 2:BUILDING 13, SUITE 1302
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3476
Practice Address - Country:US
Practice Address - Phone:908-526-0700
Practice Address - Fax:908-526-9988
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2016-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00411100363LW0102X
NY421108363LW0102X
PASP013748363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health