Individual
CHRISTIANA EZEWEPUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 UNION AVE STE 301, IRVINGTON, NJ 07111-3290
(908) 967-6995
Mailing address
PO BOX 105, UNION, NJ 07083-0105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01322300
NJ
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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