Provider Demographics
NPI:1518143403
Name:MENESES, LUZ MARIA (APN)
Entity Type:Individual
Prefix:MS
First Name:LUZ
Middle Name:MARIA
Last Name:MENESES
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916-922 MAIN AVE
Mailing Address - Street 2:CURA/BUILDING #8
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-8544
Mailing Address - Country:US
Mailing Address - Phone:973-773-0334
Mailing Address - Fax:973-773-0336
Practice Address - Street 1:595 COUNTY AVE
Practice Address - Street 2:CURA/BUILDING #8
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2605
Practice Address - Country:US
Practice Address - Phone:201-392-9662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00022000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health