Individual provider · Type 1 NPI
Mitaec Suh, NP
Primary Care Nurse Practitioner · Wayne, NJ
NPI number
1508813353
Active
Practice location
20 Point View Pkwy
Wayne, NJ 07470-2057
Mailing address
33 Lenox Ave
Clifton, NJ 07012-1818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26NJ00038400 (NJ) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1508813353
Mitaec Suh, NP's National Provider Identifier is 1508813353, issued on May 27, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Wayne, NJ. The record was last updated on Jul 13, 2026.