Individual
MRS. ELLEN M CIACCIARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, APN-C
Contact information
Practice address
901 W MAIN ST, BUILDING B SUITE 106, FREEHOLD, NJ 07728-2537
(732) 367-6366
(732) 780-3012
Mailing address
901 W MAIN ST, BUILDING B SUITE 106, FREEHOLD, NJ 07728-2537
(732) 367-6366
(732) 780-3012
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00446000
NJ
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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