Provider Demographics
NPI:1639990096
Name:SCHETINO SILVEIRA, RENATA (APN)
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:
Last Name:SCHETINO SILVEIRA
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 1:22 DEHART AVE
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421-2834
Mailing Address - Country:US
Mailing Address - Phone:917-995-3549
Mailing Address - Fax:
Practice Address - Street 1:544 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3748
Practice Address - Country:US
Practice Address - Phone:973-759-3020
Practice Address - Fax:973-759-2046
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15131900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily