Individual provider · Type 1 NPI
Eddy ST Surin
Psychiatric/Mental Health Nurse Practitioner · Summit, NJ
NPI number
1821896754
Active
Practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Fax (908) 522-2280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ15088300 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1821896754
Eddy ST Surin's National Provider Identifier is 1821896754, issued on Mar 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Summit, NJ. The record was last updated on Mar 6, 2025.