Basic Information
| Provider Information | |||||||||
| NPI: | 1730521790 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAIRD | ||||||||
| FirstName: | ADRIENNE | ||||||||
| MiddleName: | BETH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 121 HIGHWAY 31, SUITE 1200 | ||||||||
| Address2: | HUNTERDON MEDICAL CENTER D/B/A HUNTERDON UROLOGICAL ASS | ||||||||
| City: | FLEMINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087820019 | ||||||||
| FaxNumber: | 9087820630 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 HIGHWAY 121, SUITE 1200 | ||||||||
| Address2: | HUNTERDON MEDICAL CENTER D/B/A HUNTERDON UROLOGICAL ASS | ||||||||
| City: | FLEMINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087820019 | ||||||||
| FaxNumber: | 9087820630 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2013 | ||||||||
| LastUpdateDate: | 03/20/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 26NJ00558100 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.