Active NPIIndividual providerSole proprietor

Georgette Wilson-Granby

Nurse Practitioner, Adult Health in Newark, New Jersey

NPI Number1548311434
Practice location
111 Central Ave, Smmc, Employee Health - Msh Room 203, Newark, NJ 07102-1909
Fax
973-877-5454
Last updated
July 8, 2007

Georgette Wilson-Granby is a Nurse Practitioner, Adult Health based in Newark, NJ. Georgette Wilson-Granby practices in Newark, NJ. The NPI Number for Georgette Wilson-Granby is 1548311434 and holds a License No. 302415 (NY). The current practice location address for Georgette Wilson-Granby is 111 Central Ave, Smmc, Employee Health - Msh Room 203, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5452 and via fax at 973-877-5454.

Provider Profile Details

NPI Number
1548311434
Provider Name
Georgette Wilson-Granby
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Smmc, Employee Health - Msh Room 203, Newark, NJ 07102-1909
Phone Number
973-877-5452
Fax Number
973-877-5454
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Smmc, Employee Health - Msh Room 203
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5452
Fax Number
973-877-5454
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
3204 Hana RD
Edison, NJ 08817-2552
City
Edison
State
NJ
Zip
08817-2552
Phone Number
972-877-5452
Fax Number
973-877-5454

License Information

License Number (1)
302415
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NN07778700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · 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 Georgette Wilson-Granby?

The NPI number of Georgette Wilson-Granby is 1548311434. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Georgette Wilson-Granby?

Georgette Wilson-Granby is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number 302415.

Where does Georgette Wilson-Granby practice?

The practice location is 111 Central Ave, Smmc, Employee Health - Msh Room 203, Newark, NJ 07102-1909. The office can be reached at 973-877-5452 (phone) or 973-877-5454 (fax).

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 1548311434 directly on the NPPES registry website.

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