Individual
NICOLE S. DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
110 S 11TH AVE, HIGHLAND PARK, NJ 08904-3206
(732) 595-8055
Mailing address
110 S 11TH AVE, HIGHLAND PARK, NJ 08904-3206
(732) 595-8055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15517900
NJ
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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