Individual provider · Type 1 NPI
Mini Oommen, CPNP-PC
Pediatric Nurse Practitioner · Livingston, NJ
NPI number
1508536590
Active
Practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 26NJ01179700 (NJ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1508536590
Mini Oommen, CPNP-PC's National Provider Identifier is 1508536590, issued on Sep 20, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Livingston, NJ. The record was last updated on Sep 20, 2021.