Individual provider · Type 1 NPI

Shaleeza Rafiuddin

Nurse Practitioner · East Orange, NJ

NPI number 1639687940 Active

Practice location

90 Washington St Ste 308
East Orange, NJ 07017-1050

Mailing address

417 Beardsley Ave Apt 1
Bloomfield, NJ 07003-5910

Other practice locations

  • 105 Main St, Suite 1A, West Orange, NJ 07052 · (973) 344-0900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00789400 (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 1639687940

Shaleeza Rafiuddin's National Provider Identifier is 1639687940, issued on Jan 21, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Orange, NJ. The record was last updated on Sep 19, 2023.