Individual
BASILISA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
205 BROWERTOWN RD, SUITE 202, WOODLAND PARK, NJ 07424-2671
(973) 785-7515
Mailing address
205 BROWERTOWN RD, SUITE 202, WOODLAND PARK, NJ 07424-2671
(973) 785-7515
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NO12217900
NJ
Other
Enumeration date
01/29/2013
Last updated
03/18/2013
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