Provider Demographics
NPI:1003417288
Name:DEQUINA, ARIANE MONIQUE CHUA (MSN, RN, NP-C, CMSRN)
Entity Type:Individual
Prefix:MRS
First Name:ARIANE MONIQUE
Middle Name:CHUA
Last Name:DEQUINA
Suffix:
Gender:F
Credentials:MSN, RN, NP-C, CMSRN
Other - Prefix:MS
Other - First Name:ARIANE MONIQUE
Other - Middle Name:DOMINGO
Other - Last Name:CHUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:340 AIRIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07114
Mailing Address - Country:US
Mailing Address - Phone:973-877-0991
Mailing Address - Fax:
Practice Address - Street 1:340 AIRIS DRIVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07114
Practice Address - Country:US
Practice Address - Phone:973-877-0991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY671486163W00000X
NJ26NR16919200163W00000X
NJ26NJ01050800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse