Individual provider · Type 1 NPI
Shyam Noruthun, APN
Family Nurse Practitioner · Newark, NJ
NPI number
1962611376
Active
Practice location
140 Bergen Street
Newark, NJ 09103
Mailing address
136 W Hazelwood Ave
Rahway, NJ 07065-3102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26NJ00013300 (NJ) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ00013300 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962611376
Shyam Noruthun, APN's National Provider Identifier is 1962611376, issued on May 22, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newark, NJ. The record was last updated on Sep 11, 2025.