Individual
MAYRA GUADALUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN GERONTOLOGY
Contact information
Practice address
40 PROSPECT AVENUE 2ND FLOOR DAVID JURIST RESEARCH BUIL, HACKENSACK, NJ 07601
(551) 996-1122
Mailing address
40 PROSPECT AVENUE 2ND FLOOR DAVID JURIST RESEARCH BUIL, HACKENSACK, NJ 07601
(551) 996-1122
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15387300
NJ
Other
Enumeration date
10/28/2025
Last updated
10/30/2025
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