Individual
MS. MERCY OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
Mailing address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00521400
NJ
Other
Enumeration date
10/14/2014
Last updated
04/26/2015
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