Provider Demographics
NPI:1447563093
Name:MEJIAS-CEPEDA, NANCY ENID (RN)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ENID
Last Name:MEJIAS-CEPEDA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 NUKO TER
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-4106
Mailing Address - Country:US
Mailing Address - Phone:973-895-9952
Mailing Address - Fax:
Practice Address - Street 1:4 NUKO TER
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-4106
Practice Address - Country:US
Practice Address - Phone:973-895-9952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR07501500163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant