Mmereole, Paulina
Mmereole, Paulina is an individual health care provider with primary practice located at 6101 Kennedy Blvd E Ste 1, West New York NJ 07093-3902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mmereole, Paulina can be contacted via phone (201) 448-2804.Contact Information
Primary practice address
6101 Kennedy Blvd E Ste 1
West New York NJ 07093-3902
Phone: (201) 448-2804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 26NJ00504700 | New Jersey |
Profile Details
| NPI number | 1083029656 |
|---|---|
| LBN Legal business name | Mmereole, Paulina |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2014 |
| Last updated | May 2nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083029656 | NPPES |
| New Jersey | MEDICAID | 0420964 |
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