Individual provider · Type 1 NPI
Miryam Anci-Jimenez, NURSE PRACTITIONER
Family Nurse Practitioner · West Orange, NJ
NPI number
1902634975
Active
Practice location
796 Northfield Ave
West Orange, NJ 07052-1025
Fax (732) 997-3022
Other practice locations
- 73 Oak Ridge Rd, Newfoundland, NJ 07435-1403 · (973) 663-1143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 26NR18079700 (NJ) |
| Family Nurse Practitioner Primary | 363LF0000X | 25NJ15164400 (NJ) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1902634975
Miryam Anci-Jimenez, NURSE PRACTITIONER's National Provider Identifier is 1902634975, issued on Jul 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Orange, NJ. The record was last updated on Oct 8, 2024.