Individual
DR. IYEN STACEY IGHODARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, FNP-C
Contact information
Practice address
197 HILLSIDE AVE, LIVINGSTON, NJ 07039-3648
(646) 633-1525
Mailing address
197 HILLSIDE AVE, LIVINGSTON, NJ 07039-3648
(646) 633-1525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01426300
NJ
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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