Active NPIIndividual providerSole proprietor

Mrs. Brenda M Vivar, APN

Nurse Practitioner, Primary Care in Hackensack, New Jersey

NPI Number1871219444
Practice location
357 Prospect Ave, Hackensack, NJ 07601-2519
Fax
—
Last updated
October 17, 2022

Brenda Michelle Vivar is a Nurse Practitioner, Primary Care based in Hackensack, NJ. Brenda Michelle Vivar practices in Hackensack, NJ and has the professional credentials of APN. The NPI Number for Brenda Michelle Vivar is 1871219444 and holds a License No. 26NJ01364900 (NJ). The current practice location address for Brenda Michelle Vivar is 357 Prospect Ave, Hackensack, NJ 07601-2519 and can be reached out via phone at 551-309-3555.

Provider Profile Details

NPI Number
1871219444
Provider Name
Brenda Michelle Vivar
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
357 Prospect Ave, Hackensack, NJ 07601-2519
Phone Number
551-309-3555
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 17, 2022
Last Update Date
October 17, 2022
Certification Date
October 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
357 Prospect Ave
Hackensack, NJ 07601-2519
Zip
07601-2519
Phone Number
551-309-3555
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
108 Dater St
North Haledon, NJ 07508-2520
City
North Haledon
State
NJ
Zip
07508-2520
Phone Number
201-927-9021

License Information

License Number
26NJ01364900
License State
NJ
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · 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 Mrs. Brenda M Vivar, APN?

The NPI number of Mrs. Brenda M Vivar, APN is 1871219444. It was assigned on October 17, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Brenda M Vivar, APN?

Mrs. Brenda M Vivar, APN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ01364900.

Where does Mrs. Brenda M Vivar, APN practice?

The practice location is 357 Prospect Ave, Hackensack, NJ 07601-2519. The office can be reached at 551-309-3555 (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 1871219444 directly on the NPPES registry website.

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