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NPI Code Detail

MEDICARE: PRIYANKA PATEL

MEDICARE:   PRIYANKA  PATEL
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
1363LF0000XFamily Nurse Practitioner26NJ15081900NJ

General Provider Information

NPI Number : 1730900408
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRIYANKA PATEL
Provider Business Mailing Address
First Line : 1220 MORNING GLORY DR
Second Line :
City : MONROE TOWNSHIP
State : NJ
Zip : 08831-5352
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 WASHINGTON AVE S STE 1210
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-2511
Country : US
Telephone Number : 855-705-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2024
Last Update Date : 10/24/2024

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Directions to “ PRIYANKA PATEL ” Practice Location

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