Individual
ERICA ADDESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01370000
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ01370000
NJ
363LP0222X
Critical Care Pediatric Nurse Practitioner
SP021969
PA
Other
Enumeration date
05/14/2020
Last updated
11/28/2022
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