Individual provider · Type 1 NPI
Maria Lourdes D. Aguilera, WHNP-BC
Community Health Clinic/Center · West New York, NJ
NPI number
1619267697
Active
Practice location
5301 Broadway Avenue
West New York, NJ 07094
Fax (201) 866-6782
Mailing address
5301 Broadway
West New York, NJ 07093-2622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | 25MA04443100 (NJ) |
Community Health Clinic/Center: Definition to come...
About NPI 1619267697
Maria Lourdes D. Aguilera, WHNP-BC's National Provider Identifier is 1619267697, issued on Apr 12, 2011. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in West New York, NJ. The record was last updated on Jun 4, 2014.