Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NJ00634600 | NJ |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 401807 | NY |
NPI | 1033384631 |
---|---|
Provider Name | Fiorella Paradisi |
First Address | Sparta, NJ 07871-3302 |
Second Address | Sparta, NJ 07871-3302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 02/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00695941 | (05) | NY |