PHYLLIS DUDA RN APN C AOCN NPI 1235164583

NPI Information

NPI: 1235164583
Provider Name: PHYLLIS DUDA, RN APN C AOCN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2 COOPER PLZ
400 HADDON AVE
CAMDEN, NJ
ZIP 08103
Phone: (855) 632-2667
Get Directions

Phyllis Duda, RN APN C AOCN is an adult health nurse practitioner in Camden, NJ with 38 years of experience. Phyllis Duda, RN APN C AOCN NPI is 1235164583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 COOPER PLZ
400 HADDON AVE
CAMDEN, NJ
ZIP 08103-461
Phone: (855) 632-2667

The NPI 1235164583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	26NJ00008200	NEW JERSEY	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	NJ000082	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500028955	OTHER		RAILROAD MEDICARE
2	8829802	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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