Individual
ADANNA IBEZIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
276 PASSAIC AVE UNIT A, KEARNY, NJ 07032-1129
(201) 719-9371
Mailing address
276 PASSAIC AVE UNIT A, KEARNY, NJ 07032-1129
(201) 719-9371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01397800
NJ
363LF0000X
Family Nurse Practitioner
F344186
NY
Other
Enumeration date
11/08/2011
Last updated
09/25/2024
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