Individual
NICOLE VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
471 MAIN ST, CHATHAM, NJ 07928-2102
(866) 389-2727
Mailing address
138 HORSESHOE RD, BERKELEY HEIGHTS, NJ 07922-2505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00590400
NJ
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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