Organization · Type 2 NPI
Care Deeply
Primary Care Nurse Practitioner · Orange, NJ
NPI number
1962971002
Active
Practice location
200 Central Ave
Orange, NJ 07050-3408
Mailing address
2094 Stanley Ter
Union, NJ 07083-4312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1962971002
Care Deeply's National Provider Identifier is 1962971002, issued on Nov 19, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Orange, NJ. The record was last updated on Nov 19, 2018.