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Corine Iwuala
Psychiatric/Mental Health Nurse Practitioner in West Orange, New Jersey
NPI 1063168847

Corine Iwuala is a Psychiatric/Mental Health Nurse Practitioner based in West Orange, NJ and is specialized in Psychiatric/Mental Health. Corine Iwuala practices in West Orange, NJ. The NPI Number for Corine Iwuala is 1063168847 and holds a License No. 26NJ01276000 (New Jersey).

The current practice location address for Corine Iwuala is 97 Mayfair Dr, West Orange, NJ and can be reached out via phone at 973-866-5350 and via fax at 973-381-1634.

Location: 97 Mayfair Dr, West Orange, NJ, 07052-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063168847
Provider Name
Corine Iwuala
Credential
Provider Entity Type
Individual
Gender
Female
Address
97 Mayfair Dr, West Orange, NJ, 07052-2210
Phone Number
973-866-5350
Fax Number
973-381-1634
Provider Enumeration Date
03/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
97 Mayfair Dr
City
West Orange
State
New Jersey
Zip
07052-2210
Phone Number
973-866-5350
Fax Number
973-381-1634
person
Provider Business Mailing Address Details
Address
97 Mayfair Dr
City
West Orange
State
New Jersey
Zip
07052-2210
Phone Number
973-866-5350
Fax Number
973-381-1634
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26NJ01276000 (New Jersey)
Definition
Definition to come...
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