Healthcare Provider Details

I. General information

NPI: 1639627953
Provider Name (Legal Business Name): EVELYN AINA ARIGBE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CRAWFORDS CORNER RD STE 1116B
HOLMDEL NJ
07733-1977
US

IV. Provider business mailing address

101 CRAWFORDS CORNER RD STE 1116B
HOLMDEL NJ
07733-1977
US

V. Phone/Fax

Practice location:
  • Phone: 848-997-7700
  • Fax: 609-991-6414
Mailing address:
  • Phone: 848-997-7700
  • Fax: 609-991-6414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00667300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: