Myrna L Datilus
Licensed Practical Nurse in Newark, New Jersey
1598458184- Practice location
- 11-15 Clinton St Apt 6G, Newark, NJ 07102-3742
- Phone
- 908-358-8322
- Fax
- —
- Last updated
- May 30, 2023
Myrna L Datilus is a Licensed Practical Nurse based in Newark, NJ. Myrna L Datilus practices in Newark, NJ. The NPI Number for Myrna L Datilus is 1598458184 and holds a License No. 26NP49551300 (NJ). The current practice location address for Myrna L Datilus is 11-15 Clinton St Apt 6G, Newark, NJ 07102-3742 and can be reached out via phone at 908-358-8322.
Provider Profile Details
- NPI Number
- 1598458184
- Provider Name
- Myrna L Datilus
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11-15 Clinton St Apt 6G, Newark, NJ 07102-3742
- Phone Number
- 908-358-8322
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 30, 2023
- Last Update Date
- May 30, 2023
- Certification Date
- May 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11-15 Clinton St Apt 6G
Newark, NJ 07102-3742 - City
- Newark
- State
- New Jersey
- Zip
- 07102-3742
- Phone Number
- 908-358-8322
Provider Business Mailing Address Details
- Address
- 11-15 Clinton St Apt 6G
Newark, NJ 07102-3742 - City
- Newark
- State
- NJ
- Zip
- 07102-3742
- Phone Number
- 908-358-8322
License Information
- License Number
- 26NP49551300
- License State
- NJ
- Taxonomy
- Licensed Practical Nurse · 164W00000X · 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 Myrna L Datilus?
The NPI number of Myrna L Datilus is 1598458184. It was assigned on May 30, 2023 and is currently active in the NPPES registry.
What is the specialty of Myrna L Datilus?
Myrna L Datilus is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NJ under license number 26NP49551300.
Where does Myrna L Datilus practice?
The practice location is 11-15 Clinton St Apt 6G, Newark, NJ 07102-3742. The office can be reached at 908-358-8322 (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 1598458184 directly on the NPPES registry website.