Provider Demographics
NPI: | 1659887719 |
---|---|
Name: | UY, MARIA RIZA (MSN, APN, FNP-C) |
Entity type: | Individual |
Prefix: | |
First Name: | MARIA |
Middle Name: | RIZA |
Last Name: | UY |
Suffix: | |
Gender: | F |
Credentials: | MSN, APN, FNP-C |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 45 DENNISON DR |
Mailing Address - Street 2: | |
Mailing Address - City: | EAST WINDSOR |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08520-5338 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 131 MORRISTOWN RD |
Practice Address - Street 2: | |
Practice Address - City: | BASKING RIDGE |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07920-1654 |
Practice Address - Country: | US |
Practice Address - Phone: | 909-307-8843 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2017-12-26 |
Last Update Date: | 2024-06-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | 26NR11770700 | 163WG0000X |
NJ | 26NJ00802000 | 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No | 163WG0000X | Nursing Service Providers | Registered Nurse | General Practice |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NJ | 26NR117700700 | Other | RN LICENSE |
NJ | 26NJ00802000 | Other | APN LICENSE |