Provider Demographics
NPI:1740634252
Name:CAHILL, JOANNA (NP-C)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:
Last Name:CAHILL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:GAWRON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:JOANNA KACZOCHA
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-7495
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00633000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner