| Doctor Name: | JOANNA ENRIQUEZ |
| NPI Number: | 1366822744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00567800 |
| Business Practice Address: | 54 Plauderville Ave Ste 3 Garfield, NJ - 070262252 |
| Business Phone Number: | 9737720262 |
| Business Fax Number: | 9737720265 |
| Mailing Address: | 54 Plauderville Ave Ste 3, GARFIELD |
| State: | NJ |
| Postal Code: | 070262252 |
| Phone Number: | 9737720262 |
| Fax Number: | 9737720265 |
| NPI Enumeration Date: | 06/01/2015 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00567800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |