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Contact Information

MIRYAM ANCI JIMENEZ, NURSE PRACTITIONER
796 NORTHFIELD AVE
WEST ORANGE, NJ07052-1025
 Phone: 973-842-4272
 Fax: 732-997-3022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MIRYAM ANCI JIMENEZ · (Female)

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
  • NJ License # 25NJ15164400
  • NJ License # 26NR18079700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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