| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Ellen Wilson · WILSON, ELLEN | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Ellen | [sources] | |||
| ID Number | RN567297, SP009623 | [sources] | |||
| Last name | Wilson | [sources] | |||
| NPI | 1144406620 | [sources] | |||
| Sector | RN/APN | [sources] | |||
| Title | RN, CRNP | [sources] | |||
| Address | (NJ), (NJ) · 42 THEO COURT, BURLINGTON, NJ 08016 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-e9a9ecda275c29406fd9e1162a71aa166d2b239f · us-medpa-36cc58608606f00525bc05f15e8c23269f281eceFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| 42 THEO COURT, BURLINGTON, NJ 08016 | United States | |
| United States | New Jersey Office of the State Comptroller | - |
| (NJ), (NJ) · NJ, NJ | United States |