Provider Demographics
NPI:1326580077
Name:ESSIEN, DINAH (WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:DINAH
Middle Name:
Last Name:ESSIEN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-3227
Mailing Address - Country:US
Mailing Address - Phone:732-388-1508
Mailing Address - Fax:732-388-9040
Practice Address - Street 1:11 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-3227
Practice Address - Country:US
Practice Address - Phone:732-388-1508
Practice Address - Fax:732-388-9040
Is Sole Proprietor?:No
Enumeration Date:2016-11-11
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR14301700163W00000X
NJ26NJ00680400363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse