Teresita Octavo APN

NPI 1245584291 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1245584291
Gender Female
Enumeration Date 10/30/2012
Last Updated 10/30/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
20 PROSPECT AVE
SUITE 701
HACKENSACK NJ, 07601-1997, US
Phone (201) 996-2997
Fax
Business Location
13 STEGMAN PL
JERSEY CITY NJ, 07305-1414, US
Phone (201) 724-4349
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State New Jersey
License Number 26NJ00390300
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According to our database, Ms. Teresita Octavo APN NPI is 1245584291, taxonomy code is 363LA2200X and license number is 26NJ00390300, license state is located at New Jersey. Teresita Octavo APN physically located at 20 Prospect Ave, Hackensack NJ, 07601-1997. NPI Number Teresita Octavo APN has the Individual type.

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1245584291 NPI number is provided on an as is basis without warranty of any kind. 1245584291 is maintained by the National Plan & Provider Enumeration System. The contents of Teresita Octavo APN are for informational purposes only.