Healthcare Provider Details

I. General information

NPI: 1811640741
Provider Name (Legal Business Name): MIRLENE ESTRIPLET RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

769 SANFORD AVE
NEWARK NJ
07106-3662
US

IV. Provider business mailing address

769 SANFORD AVE
NEWARK NJ
07106-3662
US

V. Phone/Fax

Practice location:
  • Phone: 201-969-6485
  • Fax: 908-686-6202
Mailing address:
  • Phone: 201-969-6485
  • Fax: 908-686-6202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHPO320300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: