Individual
DIANE E MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2555
(973) 754-2567
Mailing address
PO BOX 32730, HARTFORD, CT 06150-2730
(973) 773-0100
(973) 773-2101
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
26NC07080600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053546
—
NJ
Enumeration date
06/10/2005
Last updated
07/08/2007
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