Organization · Type 2 NPI
Prodigy Aesthetics
Primary Care Nurse Practitioner · Paterson, NJ
NPI number
1437856648
Active
Practice location
680 Broadway Ste 205
Paterson, NJ 07514-1527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1437856648
Prodigy Aesthetics's National Provider Identifier is 1437856648, issued on Feb 8, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Paterson, NJ. The record was last updated on Mar 8, 2023.