Provider Demographics
NPI:1427653112
Name:ASARE, PRISCILLA E (PMHNP)
Entity type:Individual
Prefix:MS
First Name:PRISCILLA
Middle Name:E
Last Name:ASARE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:PRISCILLA
Other - Middle Name:E
Other - Last Name:ASARE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:590 WESTFIELD AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3312
Mailing Address - Country:US
Mailing Address - Phone:908-666-6380
Mailing Address - Fax:732-847-4827
Practice Address - Street 1:590 WESTFIELD AVE STE 6
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3312
Practice Address - Country:US
Practice Address - Phone:908-666-6380
Practice Address - Fax:732-847-4827
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0296700163WH0200X
NJ26NJ15133700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health