Individual provider · Type 1 NPI
Renjini Raju Basil
Family Nurse Practitioner · Bergenfield, NJ
NPI number
1790056182
Active
Practice location
202 Howard Drive, Apt # I
Bergenfield, NJ 07621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ00360600 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1790056182
Renjini Raju Basil's National Provider Identifier is 1790056182, issued on Jan 18, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bergenfield, NJ. The record was last updated on Jan 18, 2012.