Individual
FALECIA ANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
Mailing address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15071100
NJ
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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