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NPI Code Detail

MEDICARE: RUNA LAILA FNP-C

MEDICARE:   RUNA  LAILA  FNP-C
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
1363L00000XNurse Practitioner26NJ01287300NJ
2363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ01287300NJ

General Provider Information

NPI Number : 1528717014
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUNA LAILA FNP-C
Provider Business Mailing Address
First Line : 1 CLARA MAASS DR
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-3550
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 CLARA MAASS DR
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-3550
Country : US
Telephone Number : 973-450-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 02/20/2026

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Directions to “ RUNA LAILA FNP-C” Practice Location

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