Individual
ANGIE BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
(877) 485-8918
Mailing address
43 S RIDGE CT, RIDGEFIELD, CT 06877-5420
(201) 822-1161
(877) 485-8918
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01393200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0887269
—
NJ
Enumeration date
11/07/2022
Last updated
04/17/2026
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