Individual
LEA NICOLE CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2476
Mailing address
114 RIDGE DR, POMPTON LAKES, NJ 07442-1469
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01237500
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
26NJ01237500
NJ
Other
Enumeration date
12/17/2021
Last updated
04/11/2024
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