Provider Demographics
NPI:1548487630
Name:STOPPER, PATRICIA B (APNC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:B
Last Name:STOPPER
Suffix:
Gender:F
Credentials:APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MADISON AVE
Mailing Address - Street 2:DEPATRMENT OF SURGERY BOX 88
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6136
Mailing Address - Country:US
Mailing Address - Phone:973-971-7775
Mailing Address - Fax:973-290-7070
Practice Address - Street 1:95 MADISON AVENUE
Practice Address - Street 2:SUITE 304
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07962-1956
Practice Address - Country:US
Practice Address - Phone:973-971-7775
Practice Address - Fax:973-290-7521
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-26
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-07-26
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00125500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health