Individual
MS. VODY ELAINE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2742 ALICE TER, UNION, NJ 07083-4103
(908) 708-3618
(862) 205-2477
Mailing address
2742 ALICE TER, UNION, NJ 07083-4103
(908) 708-3618
(862) 205-2477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11343600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01343900
NJ
Other
Enumeration date
02/13/2007
Last updated
10/23/2023
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