Individual
CHRISTINA EADICICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 ELENA CT, SICKLERVILLE, NJ 08081-1108
(856) 278-9539
Mailing address
1108 ELENA CT, SICKLERVILLE, NJ 08081-1108
(856) 278-9539
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01217400
NJ
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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