Individual
SHEILA MACKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8345
Mailing address
17 MAY PL, NUTLEY, NJ 07110-1314
(201) 956-3749
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
26NC08626800
NJ
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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