Anchored Adolescent & Child Psychiatry LLC
NPI #1205682622 in Marmora, New Jersey
Provider Information
- NPI Number
- 1205682622
- Entity Type
- Organization
- Organization Name
- Anchored Adolescent & Child Psychiatry LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 26, 2024
- Last Updated
- Jan 2, 2025
Practice Location
- Address
- 510 S. SHORE RD (ROUTE 9)
- Address 2
- UNIT B
- City
- Marmora
- State
- New Jersey
- ZIP Code
- 08223
- Phone
- (610) 416-9802
Authorized Official
- Name
- DR. KIERSTEN ILAOA, DNP
- Title
- NURSE PRACTITIONER
- Phone
- (609) 525-4947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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