Individual
NICHOLE LARYSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5-15 HARTLEY PL, FAIR LAWN, NJ 07410-3023
(551) 795-6223
Mailing address
5-15 HARTLEY PL, FAIR LAWN, NJ 07410-3023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15010800
NJ
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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