Individual
MRS. NICOLE LEE ZACOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4247 ROUTE 9 N, FREEHOLD OFFICE PLAZA BLDG #1, FREEHOLD, NJ 07728-8307
(732) 780-7650
(732) 780-8817
Mailing address
4247 ROUTE 9 N, FREEHOLD OFFICE PLAZA BLDG #1, FREEHOLD, NJ 07728-8307
(732) 780-7650
(732) 780-8817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN574736
PA
363LF0000X
Family Nurse Practitioner
Primary
26NJ00366000
NJ
363LF0000X
Family Nurse Practitioner
SP011183
PA
Other
Enumeration date
12/28/2010
Last updated
04/12/2012
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