Individual provider · Type 1 NPI
Liane Paixao-Illa, NP
Adult Health Nurse Practitioner · Newark, NJ
NPI number
1326212796
Active
Practice location
788 Mount Prospect Ave
Newark, NJ 07104-3221
Mailing address
5 Shoreham Ct
East Windsor, NJ 08520-5101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NN06526400 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1326212796
Liane Paixao-Illa, NP's National Provider Identifier is 1326212796, issued on Apr 16, 2008. 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 Apr 16, 2008.