Provider Demographics
NPI:1316669344
Name:STERJOVA, HRISULA (AGPCNP-BC)
Entity type:Individual
Prefix:MS
First Name:HRISULA
Middle Name:
Last Name:STERJOVA
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 SHALER BLVD APT A
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-3731
Mailing Address - Country:US
Mailing Address - Phone:201-310-1253
Mailing Address - Fax:
Practice Address - Street 1:561 SHALER BLVD APT A
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-3731
Practice Address - Country:US
Practice Address - Phone:201-310-1253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01356100207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ01356100OtherADVANCE PRACTICE NURSE