Individual provider · Type 1 NPI
Maria Jidriska Myers
Family Nurse Practitioner · Fair Lawn, NJ
NPI number
1073133153
Active
Practice location
23-00 NJ-208
Fair Lawn, NJ 07410
Mailing address
17 Budd Ave
Budd Lake, NJ 07828-2404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ00927000 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073133153
Maria Jidriska Myers's National Provider Identifier is 1073133153, issued on Apr 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Apr 20, 2020.