Basic Information
| Provider Information | |||||||||
| NPI: | 1740513670 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HESTER | ||||||||
| FirstName: | HANIYYAH | ||||||||
| MiddleName: | SIDDEEQAH | ||||||||
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| Credential: | NP, CRNA, RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 185 SOUTH ORANGE AVENUE MSB C594 | ||||||||
| Address2: | UNIVERSITY OF MEDICINE & DENTISTRY | ||||||||
| City: | NEWARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739721634 | ||||||||
| FaxNumber: | 9739723244 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 BERGEN ST | ||||||||
| Address2: | UNIVERSITY OF MEDICINE & DENTISTRY | ||||||||
| City: | NEWARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 071032496 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739727867 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2009 | ||||||||
| LastUpdateDate: | 04/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | NJ26NO12404500 | NJ | N | Nursing Service Providers | Registered Nurse | 363LA2100X | 26NJ00086300 | NJ | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care | 367500000X | 26NJ00086300 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.