Provider Demographics
NPI:1972973063
Name:ROBITZSKI, KATHARINE MARY (APN)
Entity type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:MARY
Last Name:ROBITZSKI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:
Other - Last Name:NESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 HILL ST APT 201
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5362
Mailing Address - Country:US
Mailing Address - Phone:201-274-9490
Mailing Address - Fax:
Practice Address - Street 1:1105 ROUTE 46
Practice Address - Street 2:
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-9748
Practice Address - Country:US
Practice Address - Phone:973-927-4662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00593700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily