Individual
BREEANA DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(973) 435-9463
Mailing address
4 JAMES CT, WEST ORANGE, NJ 07052-6201
(973) 725-7091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15187700
NJ
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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