Otieno, Mercy

Otieno, Mercy is an individual health care provider with primary practice located at 741 Broadway , Newark NJ 07104-4309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Otieno, Mercy can be contacted via phone (973) 483-1300.

Contact Information

Primary practice address
741 Broadway Newark NJ 07104-4309
Phone: (973) 483-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NJ00521400 New Jersey

Profile Details

NPI number 1235533639
LBN Legal business name Otieno, Mercy
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2014
Last updated Apr 26th, 2015 - 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.

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