Individual
NELLY MILDRED ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 GORDONS CORNER RD, MANALAPAN, NJ 07726-3357
(866) 389-2727
Mailing address
253 GORDONS CORNER RD, MANALAPAN, NJ 07726-3357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01142600
NJ
363LF0000X
Family Nurse Practitioner
F347193
NY
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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