Individual
NICHOLAS W TINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
89 SPARTA AVE, SPARTA, NJ 07871-1777
(973) 729-2121
Mailing address
15 CHICKADEE RD, BUDD LAKE, NJ 07828-2601
(862) 268-7793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18697600
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ14957800
NJ
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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