Mrs. Edita Petilos Luansing, WHNP-BC
Mrs. Edita Petilos Luansing, WHNP-BC is a Nurse Practitioner in Ridgewood, New Jersey. Qualified in 2015, 11 years ago. Practices with Lifeline Medical Associates LLC, a 151-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 11
- Licensed in
- NJ
- In the registry since
- 2015
Practice location Address checks out
317 Franklin AveRidgewood, NJ 07450-3316
Phone: (201) 447-1620
Fax: (201) 447-4977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence 26NJ00576300 (NJ) |
|---|
Record details
| NPI number | 1598141053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | WHNP-BC |
| Sole proprietor | No |
| NPI enumerated | August 7, 2015 |
| Last updated in NPPES | April 13, 2021 |
| Certification date | April 13, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Lifeline Medical Associates Llc — 151 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |