Individual
MONIQUE A CORIOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 CRISTIANI ST, ROSELLE, NJ 07203-2367
(908) 220-6725
Mailing address
412 CRISTIANI ST, ROSELLE, NJ 07203-2367
(908) 220-6725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00836600
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00836600
NJ
Other
Enumeration date
01/07/2019
Last updated
04/11/2024
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