ANNETTE ERIC D'SOUZA


Address: 500 River Avenue Unit 140, Lakewood, NJ 08701
Phone: 7323637200

ANNETTE ERIC D'SOUZA (NPI# 1407390735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407390735
Entity Type Individual
Full Name ANNETTE ERIC D'SOUZA
Credential APN
Practice Address 500 River Avenue Unit 140
Lakewood
NJ 08701
Mailing Address 500 River Ave Ste 140
Lakewood
NJ 08701-4743
Practice Telephone 7323637200
Practice Fax Number 7323638183
Mailing Telephone 7323637200
Mailing Fax Number 7323638183
Enumeration Date 2016-12-06
Last Update Date 2016-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
26NJ00683300 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 500 RIVER AVENUE UNIT 140
City LAKEWOOD
State NJ
Zip Code 08701

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1659910172 Esther Gold Behavioral Analyst 611 Stirling Ave A, Lakewood Township, NJ 08701 2020-01-01
1649816323 Julie Mcculley Orthotist 1353 River Ave Suite #4, Lakewood, NJ 08701 2019-11-18
1356990782 Lucy Dimeglio Technician 17 Amberlands Court, Lakewood, NJ 08701 2019-09-09
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245767466 Karen Lee Keller Nurse Practitioner 5903 Hayter Ave, Lakewood, CA 90712-1047 2017-05-18
1194177188 Marilyn Rosca Nurse Practitioner 12234 Renville St, Lakewood, CA 90715-1605 2016-07-01
1073903282 Housecalls of The Falls Nurse Practitioner 15526 Hilliard Rd, Lakewood, OH 44107-3813 2015-01-26
1528081957 Lindsey Ekland Nurse Practitioner 7424 Bridgeport Way W Ste 301, Lakewood, WA 98499-8135 2006-07-26
1366468811 Sandra Jorgensen Nurse Practitioner 16313 Lake Ave, Lakewood, OH 44107-1250 2006-07-15
1548879844 Rowena Houston Nurse Practitioner 3300 E South St Ste 206, Lakewood, CA 90805-4590 2020-07-23
1841822343 Michelle Lynn Juckett Nurse Practitioner 685 River Ave, Lakewood, NJ 08701-5288 2020-02-12
1144881384 Sherri Whitaker Nurse Practitioner 15800 Detroit Ave, Lakewood, OH 44107-3748 2019-06-27
1871081737 Fatimah Aisha Johnson Nurse Practitioner 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 2018-04-26
1417498213 Laura Miller Nurse Practitioner 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 2017-03-13
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Competitor

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City LAKEWOOD
Zip Code 08701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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