Individual
DIANA V ARAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1 SEARS DR STE 306, PARAMUS, NJ 07652-3510
(201) 830-2287
(201) 830-2286
Mailing address
1 SEARS DR STE 306, PARAMUS, NJ 07652-3510
(201) 830-2287
(201) 830-2286
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00723300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778818
MEDICARE PTAN
—
Enumeration date
05/10/2017
Last updated
02/05/2020
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