Individual
AMANDA ANA PICCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-1218
(908) 277-8639
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 588-3635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15215500
NJ
363LF0000X
Family Nurse Practitioner
26NJ15215500
NJ
363LF0000X
Family Nurse Practitioner
F355382-01
NY
Other
Enumeration date
12/16/2024
Last updated
03/24/2025
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