Individual
EDNA KERUBO AKOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
40 UNION AVE STE 3, IRVINGTON, NJ 07111-3277
(862) 849-2618
Mailing address
40 UNION AVE STE 3, IRVINGTON, NJ 07111-3277
(862) 849-2618
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
26NJ00854300
NJ
363L00000X
Nurse Practitioner
NP500023507
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00854300
NJ
Other
Enumeration date
10/22/2018
Last updated
05/09/2025
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