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Christiana Ezeweputa
Psychiatric/Mental Health Nurse Practitioner in Irvington, New Jersey
NPI 1366173619

Christiana Ezeweputa is a Psychiatric/Mental Health Nurse Practitioner based in Union, NJ and is specialized in Psychiatric/Mental Health. Christiana Ezeweputa practices in Irvington, NJ. The NPI Number for Christiana Ezeweputa is 1366173619 and holds a License No. 26NJ01322300 (New Jersey).

The current practice location address for Christiana Ezeweputa is 40 Union Ave Ste 301, Irvington, NJ and can be reached out via phone at 908-967-6995.

Location: 40 Union Ave Ste 301, Irvington, NJ, 07083-0105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366173619
Provider Name
Christiana Ezeweputa
Credential
Provider Entity Type
Individual
Gender
Female
Address
40 Union Ave Ste 301, Irvington, NJ, 07083-0105
Phone Number
908-967-6995
Fax Number
Provider Enumeration Date
06/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Union Ave Ste 301
City
Irvington
State
New Jersey
Zip
07111-3290
Phone Number
908-967-6995
Fax Number
person
Provider Business Mailing Address Details
Address
40 Union Ave Ste 301
City
Irvington
State
New Jersey
Zip
07111-3290
Phone Number
908-967-6995
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26NJ01322300 (New Jersey)
Definition
Definition to come...
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