MIE HEA PARK

Nurse Practitioner

Active Individual
NPI: 1902294598

Practice Address

475 GRAND AVE
2ND FLOOR
Englewood, NJ 07631

Phone: (201) 541-1111

Specialties

Specialty Code Primary License
Nurse Practitioner - Primary Care 363LP2300X No 26NJ00544400 (NJ)
Nurse Practitioner 363L00000X Yes SP019778 (PA)

Frequently Asked Questions

NPI 1902294598 is the National Provider Identifier for MIE HEA PARK, a Nurse Practitioner provider located in Englewood, NJ. This NPI was enumerated on January 5, 2015.
MIE HEA PARK practices at 475 GRAND AVE, 2ND FLOOR, Englewood, NJ 07631.

Quick Facts

NPI
1902294598
Type
Individual
Enumerated
Jan 5, 2015
Last Updated
Feb 8, 2019

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