Active NPIIndividual provider

Amirah J Brack, FNP-BC

Nurse Practitioner, Family in Avenel, New Jersey

NPI Number1083386056
Practice location
1804 Forest View Dr, Avenel, NJ 07001-2173
Fax
—
Last updated
September 29, 2021

Amirah J Brack is a Nurse Practitioner, Family based in Avenel, NJ. Amirah J Brack practices in Avenel, NJ and has the professional credentials of FNP-BC. The NPI Number for Amirah J Brack is 1083386056 and holds a License No. 26NJ01206100 (NJ). The current practice location address for Amirah J Brack is 1804 Forest View Dr, Avenel, NJ 07001-2173 and can be reached out via phone at 908-361-3224.

Provider Profile Details

NPI Number
1083386056
Provider Name
Amirah J Brack
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1804 Forest View Dr, Avenel, NJ 07001-2173
Phone Number
908-361-3224
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2021
Last Update Date
September 29, 2021
Certification Date
September 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1804 Forest View Dr
Avenel, NJ 07001-2173
City
Avenel
Zip
07001-2173
Phone Number
908-361-3224
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
1804 Forest View Dr
Avenel, NJ 07001-2173
City
Avenel
State
NJ
Zip
07001-2173
Phone Number
908-361-3224

License Information

License Number
26NJ01206100
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Amirah J Brack, FNP-BC?

The NPI number of Amirah J Brack, FNP-BC is 1083386056. It was assigned on September 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Amirah J Brack, FNP-BC?

Amirah J Brack, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01206100.

Where does Amirah J Brack, FNP-BC practice?

The practice location is 1804 Forest View Dr, Avenel, NJ 07001-2173. The office can be reached at 908-361-3224 (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 1083386056 directly on the NPPES registry website.

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