Su-Lai Wang, NP
Nurse Practitioner, Adult Health in Nutley, NJ. Individual provider (NPI-1).
NPI number1730655804
StatusActive
Last updated in NPPESOct 16, 2018
Details
- NPI
- 1730655804
- Entity type
- Individual (NPI-1)
- Name
- Su-Lai Wang
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2018
- Last updated
- Oct 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F302410-1 | NY | Yes |
Practice location
57 Wharton AveNutley, NJ 07110-1340
Phone 917-943-8869
Mailing address
57 Wharton AveNutley, NJ 07110-1340
Phone 917-943-8869
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