Individual
MS. NICOLE RICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, MS, CPNP-PC
Contact information
Practice address
2175 LEMOINE AVE # 502, FORT LEE, NJ 07024-6008
(201) 585-7337
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(201) 585-7337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01394800
NJ
363LP0200X
Pediatric Nurse Practitioner
26NJ01394800
NJ
363LP0200X
Pediatric Nurse Practitioner
F383396-01
NY
Other
Enumeration date
08/22/2022
Last updated
06/03/2025
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