Individual
KAREN MAE P ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 GRAND ST, JERSEY CITY, NJ 07302-4317
(201) 992-8290
Mailing address
102 DRAKE RD, SOMERSET, NJ 08873-2363
(732) 789-0370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15414100
NJ
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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