Individual
KATHRYN M MICHELOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN FNP-BC CCRN
Contact information
Practice address
350 ENGLE STREET, 5 MAIN, ENGLEWOOD, NJ 07631
(201) 894-3636
Mailing address
67 FAIRFIELD RD, CLIFTON, NJ 07013-3945
(973) 769-1675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00944100
NJ
Other
Enumeration date
08/06/2019
Last updated
04/16/2025
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