Individual
KATRINA VILLACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
511 S ORANGE AVE # 2078, NEWARK, NJ 07103-1342
(845) 499-6186
Mailing address
225 CHOSIN FEW WAY APT 3443, BAYONNE, NJ 07002-7271
(845) 499-6186
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15228200
NJ
Other
Enumeration date
12/23/2024
Last updated
04/01/2025
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