Active NPIIndividual provider

Nmandu O Utuk, APN

Nurse Practitioner, Family in East Orange, New Jersey

NPI Number1720584956
Practice location
60 Evergreen Place, Suite 400, East Orange, NJ 07018
Fax
973-395-1556
Last updated
August 26, 2020

Nmandu O Utuk is a Nurse Practitioner, Family based in East Orange, NJ. Nmandu O Utuk practices in East Orange, NJ and has the professional credentials of APN. The NPI Number for Nmandu O Utuk is 1720584956 and holds a License No. F340091-1 (NY). The current practice location address for Nmandu O Utuk is 60 Evergreen Place, Suite 400, East Orange, NJ 07018 and can be reached out via phone at 973-395-1550 and via fax at 973-395-1556.

Provider Profile Details

NPI Number
1720584956
Provider Name
Nmandu O Utuk
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
60 Evergreen Place, Suite 400, East Orange, NJ 07018
Phone Number
973-395-1550
Fax Number
973-395-1556
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2018
Last Update Date
August 26, 2020
Certification Date
August 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Evergreen Place
Suite 400
East Orange, NJ 07018
Zip
07018
Phone Number
973-395-1550
Fax Number
973-395-1556
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
21 Edgewood Road
Summit, NJ 07901
City
Summit
State
NJ
Zip
07901
Phone Number
973-395-1550
Fax Number
973-395-1556

License Information

License Number (1)
F340091-1
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NJ00836500
License State (2)
NJ
Taxonomy (2)
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 Nmandu O Utuk, APN?

The NPI number of Nmandu O Utuk, APN is 1720584956. It was assigned on April 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Nmandu O Utuk, APN?

Nmandu O Utuk, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F340091-1.

Where does Nmandu O Utuk, APN practice?

The practice location is 60 Evergreen Place, Suite 400, East Orange, NJ 07018. The office can be reached at 973-395-1550 (phone) or 973-395-1556 (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 1720584956 directly on the NPPES registry website.

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