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NPI Code Detail

MEDICARE: UMME HAZERA APRN, FNP- BC

MEDICARE:   UMME  HAZERA  APRN, FNP- BC
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 Practitioner26NJ01232900NJ

General Provider Information

NPI Number : 1922744895
Entity Type Code : Individual
Provider Name (Legal Business Name) : UMME HAZERA APRN, FNP- BC
Provider Business Mailing Address
First Line : 606 BROADWAY
Second Line :
City : PATERSON
State : NJ
Zip : 07514-1916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 234 HAMBURG TPKE STE 203
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2174
Country : US
Telephone Number : 973-569-6118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2022
Last Update Date : 12/08/2025

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Directions to “ UMME HAZERA APRN, FNP- BC” Practice Location

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