Individual
DIANA PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1107 CONVERY BLVD, PERTH AMBOY, NJ 08861-1937
(732) 896-9962
Mailing address
74 RYDERS LN, EAST BRUNSWICK, NJ 08816-1328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01060900
NJ
Other
Enumeration date
12/19/2020
Last updated
05/19/2022
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