Angelito Antonio, NP-C Valid NPI

Individual provider · Primary Care Nurse Practitioner · Wayne, NJ

NPI

1972743698

Type

Individual (Type 1)

Primary specialty

Primary Care Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP2300X

License number

26NJ00260500 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-02-21

Last updated

2018-06-20