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Individual

MRS. NICOLE M MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2 TREE FARM ROAD, SUITE A110, PENNINGTON, NJ 08534
(609) 737-7512
(609) 737-0978
Mailing address
2734 MONMOUTH RD, JOBSTOWN, NJ 08041
(609) 668-4146
(609) 737-0978

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17989500
NJ
367A00000X
Advanced Practice Midwife
Primary
25ME00064000
NJ

Other

Enumeration date
02/16/2018
Last updated
10/25/2021
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