Individual
MARIA TERESA DE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
351A NORTHFIELD LN, MONROE, NJ 08831-1794
(702) 321-6459
Mailing address
351A NORTHFIELD LN, MONROE, NJ 08831-1794
(702) 321-6459
(888) 294-9371
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NN09621900
NJ
363LA2200X
Adult Health Nurse Practitioner
APN000928
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003565
—
NJ
Enumeration date
06/17/2006
Last updated
04/09/2024
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