Individual
OLIVIA SCISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
401 LACEY RD # B, WHITING, NJ 08759-1386
(732) 849-1075
Mailing address
30 FIFTH AVE, TOMS RIVER, NJ 08757
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01377800
NJ
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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