Individual
JULIANNE EIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 METRO BLVD, NUTLEY, NJ 07110-6101
(000) 000-0000
Mailing address
123 METRO BLVD, NUTLEY, NJ 07110-6101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
390200000X
NJ
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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