DR. MAVIS ERMAKOV, R.D., RN., CDE., APN

Nurse Practitioner - Family

Active Individual
NPI: 1265614911

Practice Address

741 BROADWAY
Newark, NJ 07104

Phone: (973) 483-1300

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X No 0071705 (IL)
Dietitian, Registered - Nutrition, Metabolic 133VN1006X No 717052 (ID#) (IL)
Registered Nurse - Diabetes Educator 163WD0400X No 26NR112011600 (NJ)
Nurse Practitioner - Family 363LF0000X Yes 26NJ00421400 (NJ)

Frequently Asked Questions

NPI 1265614911 is the National Provider Identifier for DR. MAVIS ERMAKOV, R.D., RN., CDE., APN, a Nurse Practitioner - Family provider located in Newark, NJ. This NPI was enumerated on December 4, 2007.
DR. MAVIS ERMAKOV, R.D., RN., CDE., APN practices at 741 BROADWAY, Newark, NJ 07104.

Quick Facts

NPI
1265614911
Type
Individual
Enumerated
Dec 4, 2007
Last Updated
Aug 17, 2021

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