Individual
SONIYA HERAPARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
55 W PASSAIC AVE, BLOOMFIELD, NJ 07003-4502
(973) 338-8059
Mailing address
409 E 54TH ST, ELMWOOD PARK, NJ 07407-2719
(551) 444-8197
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00789100
NJ
Other
Enumeration date
12/20/2017
Last updated
08/30/2022
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