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Fanta Mian
Psychiatric/Mental Health Nurse Practitioner in Hackensack, New Jersey
NPI 1477216224

Fanta Mian is a Psychiatric/Mental Health Nurse Practitioner based in Union, NJ and is specialized in Psychiatric/Mental Health. Fanta Mian practices in Hackensack, NJ. The NPI Number for Fanta Mian is 1477216224 and holds a License No. 26NJ01202000 (New Jersey).

The current practice location address for Fanta Mian is 25 E Salem St, Hackensack, NJ and can be reached out via phone at 973-534-2734.

Location: 25 E Salem St, Hackensack, NJ, 07083-4939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477216224
Provider Name
Fanta Mian
Credential
Provider Entity Type
Individual
Gender
Female
Address
25 E Salem St, Hackensack, NJ, 07083-4939
Phone Number
973-534-2734
Fax Number
Provider Enumeration Date
10/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25 E Salem St
City
Hackensack
State
New Jersey
Zip
07601-7427
Phone Number
973-534-2734
Fax Number
person
Provider Business Mailing Address Details
Address
25 E Salem St
City
Hackensack
State
New Jersey
Zip
07601-7427
Phone Number
973-534-2734
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.
26NJ01202000 (New Jersey)
Definition
Definition to come...
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