Active NPIIndividual providerSole proprietor

Lydia A Patrick-Deluca, MSN RN APN-C

Nurse Practitioner, Primary Care in Montclair, New Jersey

NPI Number1508098302
Practice location
88 Porter Pl, Montclair, NJ 07042-2036
Fax
—
Last updated
August 13, 2009

Lydia Ann Patrick-Deluca is a Nurse Practitioner, Primary Care based in Montclair, NJ. Lydia Ann Patrick-Deluca practices in Montclair, NJ and has the professional credentials of MSN RN APN-C. The NPI Number for Lydia Ann Patrick-Deluca is 1508098302 and holds a License No. 26NJ00228000 (NJ). The current practice location address for Lydia Ann Patrick-Deluca is 88 Porter Pl, Montclair, NJ 07042-2036 and can be reached out via phone at 973-865-4632.

Provider Profile Details

NPI Number
1508098302
Provider Name
Lydia Ann Patrick-Deluca
Credential
MSN RN APN-C
Provider Entity Type
Individual
Gender
Female
Address
88 Porter Pl, Montclair, NJ 07042-2036
Phone Number
973-865-4632
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 13, 2009
Last Update Date
August 13, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 Porter Pl
Montclair, NJ 07042-2036
Zip
07042-2036
Phone Number
973-865-4632
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
88 Porter Pl
Montclair, NJ 07042-2036
City
Montclair
State
NJ
Zip
07042-2036
Phone Number
973-865-4632

License Information

License Number (1)
26NJ00228000
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NJ00228000
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X · 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 Lydia A Patrick-Deluca, MSN RN APN-C?

The NPI number of Lydia A Patrick-Deluca, MSN RN APN-C is 1508098302. It was assigned on August 13, 2009 and is currently active in the NPPES registry.

What is the specialty of Lydia A Patrick-Deluca, MSN RN APN-C?

Lydia A Patrick-Deluca, MSN RN APN-C is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ00228000.

Where does Lydia A Patrick-Deluca, MSN RN APN-C practice?

The practice location is 88 Porter Pl, Montclair, NJ 07042-2036. The office can be reached at 973-865-4632 (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 1508098302 directly on the NPPES registry website.

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