Individual provider · Type 1 NPI
Joanna Builes
Gerontology Nurse Practitioner · Ridgewood, NJ
NPI number
1790374437
Active
Practice location
223 N Van Dien Ave
Ridgewood, NJ 07450-2736
Mailing address
124 Home Pl Unit 17
Lodi, NJ 07644-1557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ01104700 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1790374437
Joanna Builes's National Provider Identifier is 1790374437, issued on Jan 17, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Ridgewood, NJ. The record was last updated on Jan 17, 2021.