Individual provider · Type 1 NPI

Mini Roy

Adult Health Nurse Practitioner · Newark, NJ

NPI number 1235520925 Active

Practice location

201 Lyons Ave
Newark, NJ 07112-2027

Mailing address

22 Brookside Pl
Livingston, NJ 07039-4034

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NJ00553600 (NJ)
Primary Care Nurse Practitioner 363LP2300X26NJ00553600 (NJ)
Gerontology Nurse Practitioner 363LG0600X26NJ00553600 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1235520925

Mini Roy's National Provider Identifier is 1235520925, issued on Feb 17, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Newark, NJ. The record was last updated on Feb 17, 2015.