Individual
RENELLE VELEZ PINOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 KNICKERBOCKER RD, DEMAREST, NJ 07627-1919
(201) 784-9420
Mailing address
46 KNICKERBOCKER ROAD, DEMAREST, NJ 07627-1919
(201) 784-9420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00714800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00714800
STATE OF NJ BOARD OF NURSING
NJ
01
—
476949-1
STATE OF NY EDUCATION DEPT. OFFICE OF THE PROFESSIONS
NY
Enumeration date
10/02/2017
Last updated
10/02/2017
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