Individual
MRS. MIRYAM ANCI-JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
796 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1025
(973) 842-4272
(732) 997-3022
Mailing address
796 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1025
(973) 842-4272
(732) 997-3022
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
26NR18079700
NJ
363LF0000X
Family Nurse Practitioner
Primary
25NJ15164400
NJ
Other
Enumeration date
07/22/2024
Last updated
10/08/2024
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