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Ms. Idalissie Altagracia Peguero, APN,PMHNPBC
Nurse Practitioner in Newark, New Jersey
NPI 1689154437

Idalissie Altagracia Peguero is a Nurse Practitioner based in Paterson, NJ. Idalissie Altagracia Peguero practices in Newark, NJ and has the professional credentials of APN,PMHNPBC. The NPI Number for Idalissie Altagracia Peguero is 1689154437 and holds a License No. 26NJ00838200 (New Jersey).

The current practice location address for Idalissie Altagracia Peguero is 550 Broad St Ste 606, Newark, NJ and can be reached out via phone at 201-822-1161 and via fax at 877-485-8918. You can also correspond with Idalissie Altagracia Peguero through the mailing address at 606 BROADWAY, PATERSON, NJ - 07514-1916 (mailing address contact number: 973-523-4000).

Location: 550 Broad St Ste 606, Newark, NJ, 07514-1916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689154437
Provider Name
Idalissie Altagracia Peguero
Credential
APN,PMHNPBC
Provider Entity Type
Individual
Gender
Female
Address
550 Broad St Ste 606, Newark, NJ, 07514-1916
Phone Number
201-822-1161
Fax Number
877-485-8918
Provider Enumeration Date
08/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0655881 05 NJ
institution
Provider Business Practice Location Address Details
Address
550 Broad St Ste 606
City
Newark
State
New Jersey
Zip
07102-4537
Phone Number
201-822-1161
Fax Number
877-485-8918
person
Provider Business Mailing Address Details
Address
550 Broad St Ste 606
City
Newark
State
New Jersey
Zip
07102-4537
Phone Number
201-822-1161
Fax Number
877-485-8918
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
26NJ00838200 (New Jersey)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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