Provider Demographics
NPI:1932644812
Name:ERRAZO, MARIA CHRISTINA (APN)
Entity Type:Individual
Prefix:
First Name:MARIA CHRISTINA
Middle Name:
Last Name:ERRAZO
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 1:613 PARK AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1905
Mailing Address - Country:US
Mailing Address - Phone:973-672-2455
Mailing Address - Fax:973-675-0040
Practice Address - Street 1:613 PARK AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1905
Practice Address - Country:US
Practice Address - Phone:973-672-2455
Practice Address - Fax:973-675-0040
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00690600363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology