Individual
NICOLE MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 294-2666
(732) 431-8267
Mailing address
18 ELISE CT, STATEN ISLAND, NY 10306-1186
(917) 704-0428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01332200
NJ
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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