Individual
IVY NNOROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2040 MILLBURN AVE STE 206, MAPLEWOOD, NJ 07040-3716
(973) 996-2078
(973) 852-3992
Mailing address
2040 MILLBURN AVE STE 206, MAPLEWOOD, NJ 07040-3716
(862) 888-2001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00827300
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00827300
NJ
Other
Enumeration date
07/26/2018
Last updated
12/01/2025
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