Individual provider · Type 1 NPI
Marvin Basilio Azares, APN
Acute Care Nurse Practitioner · Hackensack, NJ
NPI number
1811206451
Active
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1914
Fax (201) 343-9823
Mailing address
142 Ethel Ave
Hawthorne, NJ 07506-1527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 26NJ00294900 (NJ) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1811206451
Marvin Basilio Azares, APN's National Provider Identifier is 1811206451, issued on Sep 30, 2010. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hackensack, NJ. The record was last updated on Sep 30, 2010.