Individual
MICHELLE SHULMAN REPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
7 EAST DR, TOMS RIVER, NJ 08753-6840
(732) 890-6433
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
(908) 389-5675
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00965700
NJ
Other
Enumeration date
10/03/2019
Last updated
03/02/2020
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