Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. IDALISSIE ALTAGRACIA PEGUERO, APN, PMHNPBC
ActiveMS. IDALISSIE ALTAGRACIA PEGUERO, APN, PMHNPBC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in NEWARK, New Jersey. NPI 1689154437 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · NEWARK, NJ
Registration Details
- NPI Number
- 1689154437
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2018 (7.9734646370271 yrs)
- Last Updated
- Oct 10, 2024
- Licenses
-
26NJ00838200 (NJ)26NJ00838200 (NJ)
Practice Information
- Address
-
550 BROAD ST STE 606NEWARK, NJ, 071024537Browse NJ providers · Browse ZIP 07102
- Phone
- 2018221161
- Fax
- 8774858918
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. SARAH B RIEBER | NURSE PRACTITIONER | 1134194210 |
| KATIE WETHERILL | APN | 1114936994 |
| BARBARA CALDWELL | APN | 1578641809 |
| MS. MAUREEN AMBINDER-KNICE | APRN BC | 1043346448 |
| KAZEEM ALAO OLAJIDE | — | 1184110165 |
| DR. PATRICIA A. MURPHY | APN, PH.D. | 1396964326 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.