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Individual

KACEY PUGLIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGPCNP-BC, CNOR

Contact information

Practice address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-4977
Mailing address
19 LYNWOOD RD, VERONA, NJ 07044-1714
(973) 557-5641

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18275900
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15070200
NJ

Other

Enumeration date
07/15/2024
Last updated
07/15/2024
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