Active NPIIndividual provider

Mrs. Vashti Etwaru

Physician Assistant, Medical in Springfield, New Jersey

NPI Number1114159506
Practice location
649 Morris Ave, Springfield, NJ 07081-1526
Fax
—
Last updated
July 10, 2023

Vashti Etwaru is a Physician Assistant, Medical based in Springfield, NJ. Vashti Etwaru practices in Springfield, NJ. The NPI Number for Vashti Etwaru is 1114159506 and holds a License No. 013232 (NY). The current practice location address for Vashti Etwaru is 649 Morris Ave, Springfield, NJ 07081-1526 and can be reached out via phone at 973-795-7955.

Provider Profile Details

NPI Number
1114159506
Provider Name
Vashti Etwaru
Provider Entity Type
Individual
Gender
Female
Address
649 Morris Ave, Springfield, NJ 07081-1526
Phone Number
973-795-7955
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2009
Last Update Date
July 10, 2023
Certification Date
July 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
649 Morris Ave
Springfield, NJ 07081-1526
Zip
07081-1526
Phone Number
973-795-7955
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
22 Crown View CT
Sparta, NJ 07871-3569
City
Sparta
State
NJ
Zip
07871-3569
Phone Number
516-343-5339

License Information

License Number
013232
License State
NY
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Mrs. Vashti Etwaru?

The NPI number of Mrs. Vashti Etwaru is 1114159506. It was assigned on August 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Vashti Etwaru?

Mrs. Vashti Etwaru is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 013232.

Where does Mrs. Vashti Etwaru practice?

The practice location is 649 Morris Ave, Springfield, NJ 07081-1526. The office can be reached at 973-795-7955 (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 1114159506 directly on the NPPES registry website.

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