Individual provider · Type 1 NPI
Eliza Mae Tangonan, APN-C, PMHNP-BC
Nurse Practitioner · Clark, NJ
Practice location
100 Walnut Ave Ste 210
Clark, NJ 07066-1269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 26NJ00498900 (NJ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1477964971
Eliza Mae Tangonan, APN-C, PMHNP-BC's National Provider Identifier is 1477964971, issued on May 19, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clark, NJ. The record was last updated on Jun 1, 2026.