Immerblum, Amanda Eve

Immerblum, Amanda Eve is an individual health care provider with primary practice located at 256 Broad St , Bloomfield NJ 07003-2766. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Immerblum, Amanda Eve can be contacted via phone (973) 743-4450.

Contact Information

Primary practice address
256 Broad St Bloomfield NJ 07003-2766
Phone: (973) 743-4450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 713221 New York
Nursing Service Providers / Registered Nurse 163W00000X 26NR24627100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 353866 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ15046300 New Jersey

Profile Details

NPI number 1023860061
LBN Legal business name Immerblum, Amanda Eve
Credentials MS, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2024
Last updated Apr 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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