Individual
MRS. CALLISTA NGOZI IWUALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
860 GROVE ST, IRVINGTON, NJ 07111-3601
(973) 373-0805
(973) 243-9861
Mailing address
46 CRYSTAL AVE, WEST ORANGE, NJ 07052-3546
(201) 362-9916
(973) 243-9861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00351900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00351900
NJ
Other
Enumeration date
03/28/2012
Last updated
07/16/2025
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