Individual provider · Type 1 NPI

Imelda De Vera Guimary, NP

Nurse Practitioner · Newark, NJ

NPI number 1073687760 Active

Practice location

268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011

Mailing address

120 Hillside Ave
Nutley, NJ 07110-1600

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNJ000899 (NJ)
Nurse Practitioner Primary 363L00000X26NJ0008990 (NJ)

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 1073687760

Imelda De Vera Guimary, NP's National Provider Identifier is 1073687760, issued on Nov 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, NJ. The record was last updated on Nov 10, 2023.