Individual
ZLATA POLYAEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, APRN
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
101 HANSON AVE, PISCATAWAY, NJ 08854-4834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR11236300
NJ
367500000X
Certified Registered Nurse Anesthetist
26NR11236300
NJ
Other
Enumeration date
05/29/2023
Last updated
04/10/2024
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