Active NPIIndividual providerSole proprietor

Hayde M Bolanos, APN

Nurse Practitioner, Family in Passaic, New Jersey

NPI Number1588059711
Practice location
401 Howe Ave Apt A9, Passaic, NJ 07055-1925
Fax
973-472-7300
Last updated
May 22, 2019

Hayde Maricruz Bolanos is a Nurse Practitioner, Family based in Passaic, NJ. Hayde Maricruz Bolanos practices in Passaic, NJ and has the professional credentials of APN. The NPI Number for Hayde Maricruz Bolanos is 1588059711 and holds a License No. 26NJ00560700 (NJ). The current practice location address for Hayde Maricruz Bolanos is 401 Howe Ave Apt A9, Passaic, NJ 07055-1925 and can be reached out via phone at 973-473-7200 and via fax at 973-472-7300.

Provider Profile Details

NPI Number
1588059711
Provider Name
Hayde Maricruz Bolanos
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
401 Howe Ave Apt A9, Passaic, NJ 07055-1925
Phone Number
973-473-7200
Fax Number
973-472-7300
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2015
Last Update Date
May 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Howe Ave Apt A9
Passaic, NJ 07055-1925
Zip
07055-1925
Phone Number
973-473-7200
Fax Number
973-472-7300
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
606 Broadway
Paterson, NJ 07514-1916
City
Paterson
State
NJ
Zip
07514-1916
Phone Number
908-240-8142

License Information

License Number
26NJ00560700
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Hayde M Bolanos, APN?

The NPI number of Hayde M Bolanos, APN is 1588059711. It was assigned on April 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Hayde M Bolanos, APN?

Hayde M Bolanos, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00560700.

Where does Hayde M Bolanos, APN practice?

The practice location is 401 Howe Ave Apt A9, Passaic, NJ 07055-1925. The office can be reached at 973-473-7200 (phone) or 973-472-7300 (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 1588059711 directly on the NPPES registry website.

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