Individual
AVIVA PLITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
360 ESSEX ST, HACKENSACK, NJ 07601-8550
(201) 646-0110
Mailing address
360 ESSEX ST, HACKENSACK, NJ 07601-8550
(201) 646-0110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15692400
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01102400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4711633
HEALTHCARE PROVIDER
—
Enumeration date
12/17/2020
Last updated
03/22/2021
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