Individual
REBECCA MIKOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 382-6628
Mailing address
97 EWINGVILLE RD, EWING, NJ 08638-2755
(609) 851-3480
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01291200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ01291200
BOARD OF NURSING
NJ
Enumeration date
04/07/2022
Last updated
04/07/2022
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