Individual
MRS. JANELL C. ETTORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
150 BERGEN ST RM M-228, NEWARK, NJ 07103-2496
(973) 972-6680
Mailing address
124 SUSSEX ST APT E, WESTFIELD, NJ 07090-1515
(609) 356-9331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13879400
NJ
163W00000X
Registered Nurse
RN588101
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00608200
NJ
363LF0000X
Family Nurse Practitioner
26NJ00608200
NJ
Other
Enumeration date
09/09/2015
Last updated
03/19/2021
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