Provider Demographics
NPI:1922296011
Name:ALMIRANTE, MARIA CARMELITA BACULIO (RN)
Entity Type:Individual
Prefix:MS
First Name:MARIA CARMELITA
Middle Name:BACULIO
Last Name:ALMIRANTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:C
Other - Last Name:ALMIRANTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:107 FAIRFIELD ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1505
Mailing Address - Country:US
Mailing Address - Phone:201-408-4293
Mailing Address - Fax:
Practice Address - Street 1:107 FAIRFIELD ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-1505
Practice Address - Country:US
Practice Address - Phone:201-408-4293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY589607-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse