Provider Demographics
NPI:1982889374
Name:MISKO, MARIA CLARA DIAGO (APN-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIA CLARA
Middle Name:DIAGO
Last Name:MISKO
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 TALMADGE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2833
Mailing Address - Country:US
Mailing Address - Phone:732-287-6004
Mailing Address - Fax:
Practice Address - Street 1:267 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1269
Practice Address - Country:US
Practice Address - Phone:732-287-6004
Practice Address - Fax:732-287-3575
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00149000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health