Provider Demographics
NPI:1841493756
Name:BAPTISTE, MARIA MARTHA (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:MARTHA
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HUTTON AVE
Mailing Address - Street 2:UNIT 10
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4849
Mailing Address - Country:US
Mailing Address - Phone:973-736-7403
Mailing Address - Fax:973-736-3022
Practice Address - Street 1:150 BERGEN ST
Practice Address - Street 2:F-102
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2496
Practice Address - Country:US
Practice Address - Phone:973-972-3555
Practice Address - Fax:973-972-3510
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN104007363LA2100X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health