Individual
MICAELA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7337
Mailing address
15 HICKORY RD, RINGWOOD, NJ 07456-1614
(201) 424-3894
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ14893500
NJ
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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