Provider Demographics
NPI:1245782879
Name:PACHECO-TE, MARIA ARMIE LADORES (APN)
Entity Type:Individual
Prefix:
First Name:MARIA ARMIE
Middle Name:LADORES
Last Name:PACHECO-TE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:MARIA ARMIE
Other - Middle Name:LADORES
Other - Last Name:PACHECO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:68 PASTURE CT
Mailing Address - Street 2:
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-2140
Mailing Address - Country:US
Mailing Address - Phone:973-462-5600
Mailing Address - Fax:
Practice Address - Street 1:400 W BLACKWELL ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-2525
Practice Address - Country:US
Practice Address - Phone:973-989-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00680500363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care