Organization · Type 2 NPI

Axara Health

Nurse Practitioner · Wayne, NJ

NPI number 1073479010 Active

Practice location

38 Tuxedo Dr
Wayne, NJ 07470-2728

Fax (862) 300-3960

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073479010

Axara Health's National Provider Identifier is 1073479010, issued on Jan 3, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wayne, NJ. The record was last updated on Jan 3, 2026.