Provider Demographics
NPI:1952741647
Name:ADLAWAN, EINA JANE MARIE (APN, RN, FNP-BC, EMT)
Entity type:Individual
Prefix:MS
First Name:EINA JANE MARIE
Middle Name:
Last Name:ADLAWAN
Suffix:
Gender:F
Credentials:APN, RN, FNP-BC, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MAIN ST
Mailing Address - Street 2:NEUROLOGY - XAVIER 623
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2621
Mailing Address - Country:US
Mailing Address - Phone:973-754-2005
Mailing Address - Fax:
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:NEUROLOGY DEPARTMENT
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:973-754-2005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00452600363LF0000X
NJ597949146N00000X
NJ26NR13691200163W00000X
NY617187-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No163W00000XNursing Service ProvidersRegistered Nurse