Provider Demographics
NPI:1336567940
Name:KRAMER, JUDITH (RN)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:107 SCOTCH PLAINS AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-4435
Mailing Address - Country:US
Mailing Address - Phone:908-456-0129
Mailing Address - Fax:
Practice Address - Street 1:107 SCOTCH PLAINS AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-4435
Practice Address - Country:US
Practice Address - Phone:908-456-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR07852400163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator