Ana Mariel Builes, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Lodi, NJ
NPI 1194356972 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1194356972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00968100 (NJ)
- Practice address
- 552 Harrison Ave
Lodi, NJ 07644-1137 - Phone
- (973) 981-3635
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00968100 | NJ | MD | Family Nurse Practitioner |
Interoperability endpoints
- anb9156@direct.nyp.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00968100 | NJ | Yes |
Addresses
Primary practice location
552 Harrison Ave
Lodi, NJ 07644-1137
Mailing address
552 Harrison Ave
Lodi, NJ 07644-1137
Phone (973) 981-3635
Other providers in Lodi, NJ
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- Alexa Buffington
- Christian Omar Cabrera
- Anthony J Campanella
- Maribel Cano
- Maricela Cantuna
- Andrew Cao
All providers in Lodi, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.