Individual
MRS. MARIA ELANA SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-9191
Mailing address
3600 ROUTE 66, FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00394800
NJ
Other
Enumeration date
03/08/2013
Last updated
02/10/2021
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