Individual provider · Type 1 NPI
Angelito Antonio, NP-C
Primary Care Nurse Practitioner · Wayne, NJ
NPI number
1972743698
Active
Practice location
930 Valley Rd
Wayne, NJ 07470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 26NJ00260500 (NJ) |
| Adult Health Clinical Nurse Specialist | 364SA2200X | F305268-1 (NY) |
| Gerontology Clinical Nurse Specialist | 364SG0600X | F340760-1 (NY) |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 26NJ00260500 (NJ) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26NJ00260500 (NJ) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1972743698
Angelito Antonio, NP-C's National Provider Identifier is 1972743698, issued on Feb 21, 2009. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Wayne, NJ. The record was last updated on Jun 20, 2018.