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Individual

DIANE LYNNE NOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
128 CREST HAVEN RD, CAPE MAY COURT HOUSE, NJ 08210-1651
(609) 465-4100
(609) 778-6173
Mailing address
3 SOMERS AVE, OCEAN VIEW, NJ 08230-1505
(609) 624-3689
(609) 624-1841

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00096100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0249823
NJ
Enumeration date
06/06/2008
Last updated
08/12/2014
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