Provider Demographics
NPI:1063584266
Name:BERRIO, YVONNE (RN,MS,NPC)
Entity type:Individual
Prefix:MISS
First Name:YVONNE
Middle Name:
Last Name:BERRIO
Suffix:
Gender:F
Credentials:RN,MS,NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08629-2710
Mailing Address - Country:US
Mailing Address - Phone:609-586-6006
Mailing Address - Fax:
Practice Address - Street 1:2275 HIGHWAY 33
Practice Address - Street 2:SUITE 301
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-1748
Practice Address - Country:US
Practice Address - Phone:609-586-6006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN82132363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
091559AXEMedicare ID - Type Unspecified
NJQ45126Medicare UPIN