MARTHIN MAVERICK CORONADO SALES NPI 1528780475

NPI Information

NPI: 1528780475
Provider Name: MARTHIN MAVERICK CORONADO SALES
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
9 MULE RD STE E5
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 230-2661
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Marthin Maverick Coronado Sales is a primary care nurse practitioner in Toms River, NJ. Marthin Maverick Coronado Sales NPI is 1528780475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9 MULE RD STE E5
TOMS RIVER, NJ
ZIP 08755-052
Phone: (732) 230-2661

The NPI 1528780475 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2022 and was last updated on 2/26/2023.

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	363LP2300X	Nurse Practitioner	Primary Care	26NJ01368700	NEW JERSEY	Yes

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: 5/5/2024

NPI Synchronization or Removal

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