Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Eve Immerblum, MS, FNP-BC

Individual provider Registered Nurse · NPI 1023860061

Amanda Eve Immerblum, MS, FNP-BC is a Registered Nurse in Bloomfield, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2024.

Licensed in
NJ, NY
In the registry since
2024
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

256 Broad St
Bloomfield, NJ 07003-2766
Phone: (973) 743-4450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15046300 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 713221 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 26NR24627100 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 353866 (NY)

Record details

NPI number1023860061
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , FNP-BC
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

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