Individual provider · Type 1 NPI

Nanceyanne Tallis

Adult Health Nurse Practitioner · Ridgewood, NJ

NPI number 1851069439 Active

Practice location

947 Linwood Ave
Ridgewood, NJ 07450-2939

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner	363LA2200X	25NJ00649900 (NJ)
Adult Health Nurse Practitioner Primary	363LA2200X	26NJ00649900 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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Carol Ann O'Hagan Sotsky, MDInfectious Disease Physician Ridgewood, NJ NPI 1710966064
Esther Jeehae Lee, MDEndocrinology, Diabetes & Metabolism Physician Ridgewood, NJ NPI 1952545162
Kiran Bhagwan Amesur, MDOphthalmology Physician Ridgewood, NJ NPI 1104900778
Neil Gaffin, MDInfectious Disease Physician Ridgewood, NJ NPI 1649259045
Simon John Tsiouris, MDInfectious Disease Physician Ridgewood, NJ NPI 1114085040
Umar Jamshed Sharif Khawaja, MBBSEndocrinology, Diabetes & Metabolism Physician Ridgewood, NJ NPI 1508399163

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About NPI 1851069439

Nanceyanne Tallis's National Provider Identifier is 1851069439, issued on Aug 31, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ridgewood, NJ. The record was last updated on Aug 31, 2021.