Amanda E Immerblum, MS, FNP-BC
Nurse Practitioner, Family in Bloomfield, New Jersey
1023860061- Practice location
- 256 Broad St, Bloomfield, NJ 07003-2766
- Phone
- 973-743-4450
- Fax
- —
- Last updated
- April 3, 2024
Amanda Eve Immerblum is a Nurse Practitioner, Family based in Bloomfield, NJ. Amanda Eve Immerblum practices in Bloomfield, NJ and has the professional credentials of MS, FNP-BC. The NPI Number for Amanda Eve Immerblum is 1023860061 and holds a License No. 713221 (NY). The current practice location address for Amanda Eve Immerblum is 256 Broad St, Bloomfield, NJ 07003-2766 and can be reached out via phone at 973-743-4450.
Provider Profile Details
- NPI Number
- 1023860061
- Provider Name
- Amanda Eve Immerblum
- Credential
- MS, FNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 256 Broad St, Bloomfield, NJ 07003-2766
- Phone Number
- 973-743-4450
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 3, 2024
- Last Update Date
- April 3, 2024
- Certification Date
- April 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 256 Broad St
Bloomfield, NJ 07003-2766 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-2766
- Phone Number
- 973-743-4450
Provider Business Mailing Address Details
- Address
- 33 Smith Ln
Somers, NY 10589-1922 - City
- Somers
- State
- NY
- Zip
- 10589-1922
- Phone Number
- 914-844-6119
License Information
- License Number (1)
- 713221
- License State (1)
- NY
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 26NR24627100
- License State (2)
- NJ
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 353866
- License State (3)
- NY
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X
- License Number (4)
- 26NJ15046300
- License State (4)
- NJ
- Taxonomy (4)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda E Immerblum, MS, FNP-BC?
The NPI number of Amanda E Immerblum, MS, FNP-BC is 1023860061. It was assigned on April 3, 2024 and is currently active in the NPPES registry.
What is the specialty of Amanda E Immerblum, MS, FNP-BC?
Amanda E Immerblum, MS, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 713221.
Where does Amanda E Immerblum, MS, FNP-BC practice?
The practice location is 256 Broad St, Bloomfield, NJ 07003-2766. The office can be reached at 973-743-4450 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023860061 directly on the NPPES registry website.