Healthcare Provider Details
I. General information
NPI: 1710513817
Provider Name (Legal Business Name): ZONA ALABI APN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2020
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18 FERRY ST STE 2
NEWARK NJ
07105-1436
US
IV. Provider business mailing address
18 FERRY ST APT 6
NEWARK NJ
07105-1436
US
V. Phone/Fax
- Phone: 973-589-3566
- Fax: 973-589-1707
- Phone: 973-760-3130
- Fax: 973-589-1707
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 26NR16581000 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 26NJ01071200 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: