Individual
TRACY ANN FALLIVENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3000 STATE ROUTE 10, MORRIS PLAINS, NJ 07950-1376
(866) 627-0196
Mailing address
125 MILLER RD, KINNELON, NJ 07405-3005
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15337500
NJ
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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