Katrina J Thelisme
Nurse Practitioner, Family in Maplewood, New Jersey
1467281436- Practice location
- 2130 Millburn Ave, Maplewood, NJ 07040-3725
- Phone
- 973-843-7149
- Fax
- —
- Last updated
- March 4, 2025
Katrina Jaliah Thelisme is a Nurse Practitioner, Family based in Maplewood, NJ. Katrina Jaliah Thelisme practices in Maplewood, NJ. The NPI Number for Katrina Jaliah Thelisme is 1467281436 and holds a License No. 26NJ15230700 (NJ). The current practice location address for Katrina Jaliah Thelisme is 2130 Millburn Ave, Maplewood, NJ 07040-3725 and can be reached out via phone at 973-843-7149.
Provider Profile Details
- NPI Number
- 1467281436
- Provider Name
- Katrina Jaliah Thelisme
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2130 Millburn Ave, Maplewood, NJ 07040-3725
- Phone Number
- 973-843-7149
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 29, 2024
- Last Update Date
- March 4, 2025
- Certification Date
- February 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2130 Millburn Ave
Maplewood, NJ 07040-3725 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3725
- Phone Number
- 973-843-7149
Provider Business Mailing Address Details
- Address
- 2130 Millburn Ave Ste C7
Maplewood, NJ 07040-3747 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3747
- Phone Number
- 908-884-8419
License Information
- License Number
- 26NJ15230700
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Katrina J Thelisme?
The NPI number of Katrina J Thelisme is 1467281436. It was assigned on July 29, 2024 and is currently active in the NPPES registry.
What is the specialty of Katrina J Thelisme?
Katrina J Thelisme is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15230700.
Where does Katrina J Thelisme practice?
The practice location is 2130 Millburn Ave, Maplewood, NJ 07040-3725. The office can be reached at 973-843-7149 (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 1467281436 directly on the NPPES registry website.