Individual
DANIELLE MARIE INNAMORATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7230
Mailing address
7 CHESTNUT HILL RD, RANDOLPH, NJ 07869-4705
(201) 400-8314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00777400
NJ
Other
Enumeration date
11/14/2017
Last updated
02/05/2019
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