Individual provider · Type 1 NPI

Mariam Wallizadeh, NP

Family Nurse Practitioner · Wayne, NJ

NPI number 1740828169 Active

Practice location

2440 Hamburg Tpke
Wayne, NJ 07470-6226

Mailing address

331 Newman Springs Rd, Bldg 2, Ste 220
Red Bank, NJ 07701-5688

Other practice locations

  • 135 Route 35, Eatontown, NJ 07724-1813 · (732) 696-7654

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ00978800 (NJ)

Family Nurse Practitioner: Definition to come...

19 other providers at this address

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About NPI 1740828169

Mariam Wallizadeh, NP's National Provider Identifier is 1740828169, issued on Dec 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wayne, NJ. The record was last updated on Jun 18, 2026.