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Lisa Marie Koumoulos, APN
Nurse Practitioner in North Bergen, New Jersey
NPI 1700482866

Lisa Marie Koumoulos is a Nurse Practitioner based in Rutherford, NJ. Lisa Marie Koumoulos practices in North Bergen, NJ and has the professional credentials of APN. The NPI Number for Lisa Marie Koumoulos is 1700482866 and holds a License No. 26NJ01081600 (New Jersey).

The current practice location address for Lisa Marie Koumoulos is 7600 River Rd, North Bergen, NJ and can be reached out via phone at 201-854-5000.

Location: 7600 River Rd, North Bergen, NJ, 07070-6818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700482866
Provider Name
Lisa Marie Koumoulos
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
7600 River Rd, North Bergen, NJ, 07070-6818
Phone Number
201-854-5000
Fax Number
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7600 River Rd
City
North Bergen
State
New Jersey
Zip
07047-6217
Phone Number
201-854-5000
Fax Number
person
Provider Business Mailing Address Details
Address
7600 River Rd
City
North Bergen
State
New Jersey
Zip
07047-6217
Phone Number
201-854-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
26NJ01081600 (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
26NJ01081600 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
26NJ01081600 (New Jersey)
Definition
Definition to come...
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