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NICHOLE ROSE PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
901 ERNSTON RD, SOUTH AMBOY, NJ 08879-2000
(732) 585-1815
Mailing address
101 LAFAYETTE RD, FORDS, NJ 08863-1013

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01201600
NJ

Other

Enumeration date
06/03/2022
Last updated
06/03/2022
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