Individual
LORETTA M NINIVAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN,C CDE
Contact information
Practice address
2240 STATE ROUTE 33, NEPTUNE, NJ 07753-6110
(732) 897-3980
(732) 897-3982
Mailing address
2240 STATE ROUTE 33, NEPTUNE, NJ 07753-6110
(732) 897-3980
(732) 897-3982
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00067000
NJ
Other
Enumeration date
11/07/2006
Last updated
07/19/2010
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