Individual
MS. DIANE STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
336 W PASSAIC ST, 2ND FL, ROCHELLE PARK, NJ 07662-3027
(201) 845-7030
(201) 845-0899
Mailing address
336 W PASSAIC ST, 2ND FL, ROCHELLE PARK, NJ 07662-3027
(201) 845-7030
(201) 845-0899
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
61538
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61538
STATE OF NJ OFFICE OF THE ATTY GENERAL BOARD OF NURSING
NJ
Enumeration date
07/09/2010
Last updated
07/09/2010
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