MEDICARE: LILIA ESPIRITU NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	26NJ00020900	NJ

General Provider Information

NPI Number	:	1295978476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIA ESPIRITU NP

Provider Business Mailing Address
First Line	:	161 CONANT ST
Second Line	:
City	:	HILLSIDE
State	:	NJ
Zip	:	07205-2854
Country	:	US
Telephone Number	:	908-289-8470
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 ORANGE ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07107-2944
Country	:	US
Telephone Number	:	973-485-9300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	04/17/2009

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Directions to “ LILIA ESPIRITU NP” Practice Location

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