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
Health care specialties
Specialty | Code | License # | 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 5 months 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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