Individual
MS. ODETTA RUTH SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
44 JONES ST, NEWARK, NJ 07103
(973) 878-9020
Mailing address
969 E LAWN DR, TEANECK, NJ 07666-6604
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00324100
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00324100
NJ
363LF0000X
Family Nurse Practitioner
26NJ00324100
NJ
363LF0000X
Family Nurse Practitioner
341048
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00324100
NJ
Other
Enumeration date
04/01/2011
Last updated
10/21/2024
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