Individual
MARIA JIDRISKA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23-00 NJ-208, FAIR LAWN, NJ 07410
(973) 200-7380
Mailing address
17 BUDD AVE, BUDD LAKE, NJ 07828-2404
(908) 917-8361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00927000
NJ
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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