Individual
KIMBERLY LAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-5358
Mailing address
10 SPICE DR, TOWNSHIP OF WASHINGTON, NJ 07676-3840
(631) 759-0200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01337300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ01337300
FNP LICENSE
NJ
01
—
P01267600
CONTROL DANGEROUS SUBSTANCES
NJ
Enumeration date
09/13/2022
Last updated
03/17/2023
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