Individual
MS. LIANE PAIXAO-ILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
788 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3221
(973) 485-6433
Mailing address
5 SHOREHAM CT, EAST WINDSOR, NJ 08520-5101
(609) 443-6286
(609) 443-6286
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN06526400
NJ
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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