Individual provider · Type 1 NPI

Mary Elias

Gerontology Nurse Practitioner · Newark, NJ

NPI number 1265992416 Active

Practice location

140 Bergen St
Newark, NJ 07103-2425

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X26NR13849900 (NJ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1265992416

Mary Elias's National Provider Identifier is 1265992416, issued on Mar 22, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Newark, NJ. The record was last updated on Mar 22, 2019.