Active NPIIndividual provider

Mrs. Miryam Anci-Jimenez, NURSE PRACTITIONER

Nurse Practitioner, Family in West Orange, New Jersey

NPI Number1902634975
Practice location
796 Northfield Ave, West Orange, NJ 07052-1025
Fax
732-997-3022
Last updated
October 8, 2024

Miryam Anci-Jimenez is a Nurse Practitioner, Family based in West Orange, NJ. Miryam Anci-Jimenez practices in West Orange, NJ and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Miryam Anci-Jimenez is 1902634975 and holds a License No. 26NR18079700 (NJ). The current practice location address for Miryam Anci-Jimenez is 796 Northfield Ave, West Orange, NJ 07052-1025 and can be reached out via phone at 973-842-4272 and via fax at 732-997-3022.

Provider Profile Details

NPI Number
1902634975
Provider Name
Miryam Anci-Jimenez
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
796 Northfield Ave, West Orange, NJ 07052-1025
Phone Number
973-842-4272
Fax Number
732-997-3022
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2024
Last Update Date
October 8, 2024
Certification Date
October 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
796 Northfield Ave
West Orange, NJ 07052-1025
Zip
07052-1025
Phone Number
973-842-4272
Fax Number
732-997-3022
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
796 Northfield Ave
West Orange, NJ 07052-1025
City
West Orange
State
NJ
Zip
07052-1025
Phone Number
973-842-4272
Fax Number
732-997-3022

License Information

License Number (1)
26NR18079700
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Medical-Surgical · 163WM0705X
License Number (2)
25NJ15164400
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 Mrs. Miryam Anci-Jimenez, NURSE PRACTITIONER?

The NPI number of Mrs. Miryam Anci-Jimenez, NURSE PRACTITIONER is 1902634975. It was assigned on July 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Miryam Anci-Jimenez, NURSE PRACTITIONER?

Mrs. Miryam Anci-Jimenez, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR18079700.

Where does Mrs. Miryam Anci-Jimenez, NURSE PRACTITIONER practice?

The practice location is 796 Northfield Ave, West Orange, NJ 07052-1025. The office can be reached at 973-842-4272 (phone) or 732-997-3022 (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 1902634975 directly on the NPPES registry website.

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