Graduated: 2024
NPI: 1508608746
Practice Locations (2)
MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
79 HALL RD
CHATHAM, NJ 079281754
8554447258
EVERGREEN MEDICAL GROUP PC
887 KINDERKAMACK RD, SUITE 2
RIVER EDGE, NJ 076612307
2017917771
Source: CMS National Downloadable File, September 2026.