Individual
LINDA STA. MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 LEXINGTON AVE, DUMONT, NJ 07628-1733
(201) 384-3331
Mailing address
227 LEXINGTON AVE, DUMONT, NJ 07628-1733
(201) 384-3331
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00725300
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00725300
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00725300
NJ
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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