Individual
VIVIAN ADIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STRYKERS RD STE 19-218, PHILLIPSBURG, NJ 08865-5400
(908) 514-4331
Mailing address
201 STRYKERS RD STE 19-218, PHILLIPSBURG, NJ 08865-5400
(908) 514-4331
(908) 270-2557
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00569000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP029429
PA
363LP2300X
Primary Care Nurse Practitioner
SP014867
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0978817
—
NJ
05
—
0979520
—
NJ
05
—
103012868-0034
—
PA
05
—
104319313-0001
—
PA
Enumeration date
04/08/2014
Last updated
12/03/2024
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