Individual provider · Type 1 NPI

Maryerll Socorro Teves, APN

Nurse Practitioner · Glen Ridge, NJ

NPI number 1205744323 Active

Practice location

311 Bay Ave Ste 200
Glen Ridge, NJ 07028-1621

Mailing address

311 Bay Ave Ste 201
Glen Ridge, NJ 07028-0009

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ15642100 (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 1205744323

Maryerll Socorro Teves, APN's National Provider Identifier is 1205744323, issued on Aug 31, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glen Ridge, NJ. The record was last updated on Oct 7, 2026.