Active NPIIndividual providerSole proprietor

Corine Iwuala

Nurse Practitioner, Psych/Mental Health in West Orange, New Jersey

NPI Number1063168847
Practice location
97 Mayfair Dr, West Orange, NJ 07052-2210
Fax
973-381-1634
Last updated
March 1, 2022

Corine Iwuala is a Nurse Practitioner, Psych/Mental Health based in West Orange, NJ. Corine Iwuala practices in West Orange, NJ. The NPI Number for Corine Iwuala is 1063168847 and holds a License No. 26NJ01276000 (NJ). The current practice location address for Corine Iwuala is 97 Mayfair Dr, West Orange, NJ 07052-2210 and can be reached out via phone at 973-866-5350 and via fax at 973-381-1634.

Provider Profile Details

NPI Number
1063168847
Provider Name
Corine Iwuala
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
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
March 1, 2022
Last Update Date
March 1, 2022
Certification Date
March 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
97 Mayfair Dr
West Orange, NJ 07052-2210
Zip
07052-2210
Phone Number
973-866-5350
Fax Number
973-381-1634
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
97 Mayfair Dr
West Orange, NJ 07052-2210
City
West Orange
State
NJ
Zip
07052-2210

License Information

License Number
26NJ01276000
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Corine Iwuala?

The NPI number of Corine Iwuala is 1063168847. It was assigned on March 1, 2022 and is currently active in the NPPES registry.

What is the specialty of Corine Iwuala?

Corine Iwuala is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01276000.

Where does Corine Iwuala practice?

The practice location is 97 Mayfair Dr, West Orange, NJ 07052-2210. The office can be reached at 973-866-5350 (phone) or 973-381-1634 (fax).

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 1063168847 directly on the NPPES registry website.

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