Individual provider · Type 1 NPI
Ajitha Ninan, NP
Adult Health Nurse Practitioner · Nutley, NJ
NPI number
1285092205
Active
Practice location
73 Columbia Ave
Nutley, NJ 07110-2503
Mailing address
73 Columbia Avenue
Nutley, NJ 07110-2503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00021500 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1285092205
Ajitha Ninan, NP's National Provider Identifier is 1285092205, issued on Feb 4, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Nutley, NJ. The record was last updated on Feb 4, 2016.