Individual provider · Type 1 NPI
Susan L. Maiocco, APN
Adult Health Nurse Practitioner · Newark, NJ
NPI number
1629028568
Active
Practice location
111 Central Ave, Saint Michael's Medical Center PRIMARYCARECLINIC1ST Fl.
Newark, NJ 07102-1909
Fax (973) 877-2718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26NO05261700 (NJ) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00070900 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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- Josephine Castillo, NPAdult Health Nurse Practitioner Newark, NJ NPI 1154846996
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- Kathleen Mary Messina, RN, APN-CAdult Health Nurse Practitioner Newark, NJ NPI 1164665584
About NPI 1629028568
Susan L. Maiocco, APN's National Provider Identifier is 1629028568, issued on May 11, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Newark, NJ. The record was last updated on Apr 8, 2014.