NPI Profile for MIRYAM ANCI JIMENEZ in WEST ORANGE, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X |
| NPI # | 1902634975 |
|
| Status | Active | |
| Credentials | NURSE PRACTITIONER | |
| Entity | Individual | |
| Enumeration date | 07/22/2024 | |
| Last updated | 10/08/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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