Individual
EZINNE EZETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
48 BI STATE PLAZA, PMB 841, OLD TAPPAN, NJ 07675
(860) 758-6800
Mailing address
48 BI STATE PLAZA, PMB 841, OLD TAPPAN, NJ 07675
(917) 383-3750
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11777
CT
Other
Enumeration date
03/15/2023
Last updated
05/14/2026
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