Constance M Courduff, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP027007 Issued in PA

Practice address

375 N. Main Street B4
Williamstown, NJ 08094-2702

Phone

(856) 526-9652

NPI assigned

Nov 17, 2022

Last updated

Feb 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mendful Minds Wellness Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1629852918
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1073222121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N. MAIN STREET B4",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943012",
            "telephone_number": "856-526-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N. MAIN STREET B4",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942702",
            "telephone_number": "856-526-9652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2737 N 5th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191332702",
            "country_code": "US",
            "telephone_number": "267-831-2157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURDUFF",
        "first_name": "CONSTANCE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01429200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027007",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN686041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew M Cogan, DO
• Community Health Care, Inc. (CompleteCare Health Network)
• Compassionate Care Oral Surgery LLC
• Kristine Coniglio, MPT
• Peter Dennis Corda, DO
• CPL (Meadow View) LLC (Meadow View Nursing & Respiratory Care Center)
• CPL (Meadowview) LLC (Meadow view Nursing & Respiratory Care Center)
• Creative Healthcare Services Corporation
• Crossroads of New Jersey Management, LLC (Crossroads Treatment Center of Williamstown)
• Daily Dignity Day Center

• Nurse Practitioner in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.