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Individual

MRS. MINDI BETH URENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
89 SPARTA AVE STE 200, SPARTA, NJ 07871-1790
(973) 726-7220
Mailing address
52 SCENIC CT, HACKETTSTOWN, NJ 07840-1745
(201) 446-8186

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01158700
NJ
363L00000X
Nurse Practitioner
Primary
26NR15840400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ01158700
NJ BOARD OF NURSING APN LICENSE
NJ
Enumeration date
07/27/2021
Last updated
03/07/2022
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