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:
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Health care specialties

SpecialtyCodeLicense #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 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083029656 NPPES
New Jersey MEDICAID 0420964

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