Individual
NICOLE REHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
29 RED OAK LN APT A, OLD BRIDGE, NJ 08857-6738
(732) 801-1919
Mailing address
29 RED OAK LN APT A, OLD BRIDGE, NJ 08857-6738
(732) 801-1919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15560000
NJ
163W00000X
Registered Nurse
Primary
643574-1
NY
163WH0200X
Home Health Registered Nurse
26NR15560000
NJ
163WH0200X
Home Health Registered Nurse
643574-1
NY
Other
Enumeration date
12/05/2011
Last updated
06/11/2012
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