Provider Demographics
NPI:1689380255
Name:MALINI, PRIYA (RN)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:
Last Name:MALINI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2467 ROUTE 10 BLDG 27-1A
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1346
Mailing Address - Country:US
Mailing Address - Phone:516-972-6302
Mailing Address - Fax:
Practice Address - Street 1:2467 ROUTE 10 BLDG 27-1A
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-1346
Practice Address - Country:US
Practice Address - Phone:516-972-6302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR20819700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse