Individual
NICOLE R HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 W BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232-2663
(609) 641-9356
Mailing address
680 EGG HARBOR RD, HAMMONTON, NJ 08037-2636
(609) 820-3602
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
26NR20202700
NJ
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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