Argel Rannier Baltazar, AGACNP-BC
Nurse Practitioner, Gerontology in Livingston, NJ. Individual provider (NPI-1).
NPI number1366995128
StatusActive
Last updated in NPPESMay 28, 2025
Details
- NPI
- 1366995128
- Entity type
- Individual (NPI-1)
- Name
- Argel Rannier Baltazar
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2016
- Certification date
- May 28, 2025
- Last updated
- May 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 26NJ00655800 | NJ | Yes |
| 163W00000X | Registered Nurse | 26NR12673100 | NJ | |
| 363LA2100X | Nurse Practitioner, Acute Care | 26NJ00655800 | NJ | |
| 363LP2300X | Nurse Practitioner, Primary Care | 26NJ00655800 | NJ |
Practice location
94 Old Short Hills RdLivingston, NJ 07039-5672
Phone 973-322-5100
Mailing address
94 Old Short Hills RdLivingston, NJ 07039-5672
Phone 973-322-5100
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