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Individual

MISS NICOLE SUNGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, RN

Contact information

Practice address
591 FRANKLIN AVE, NUTLEY, NJ 07110-1284
(973) 916-0002
Mailing address
308 WASHINGTON AVE, DUMONT, NJ 07628-2314

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01174400
NJ
363LF0000X
Family Nurse Practitioner
349060
NY

Other

Enumeration date
01/24/2022
Last updated
04/26/2022
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