Provider Demographics
NPI:1174767586
Name:ARTISAN FINANCIAL SERVICES
Entity type:Organization
Organization Name:ARTISAN FINANCIAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-444-4630
Mailing Address - Street 1:1 E RIDGEWOOD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3629
Mailing Address - Country:US
Mailing Address - Phone:201-444-4630
Mailing Address - Fax:201-444-7853
Practice Address - Street 1:1 E RIDGEWOOD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3629
Practice Address - Country:US
Practice Address - Phone:201-444-4630
Practice Address - Fax:201-444-7853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0120200253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0120200OtherSTATE LICENSE NUMBER