Individual
DEANNA NICOLE COSTARELLI DRAGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
357 PROSPECT AVE, HACKENSACK, NJ 07601-2519
(551) 309-3555
Mailing address
110 LINDEN ST, WYCKOFF, NJ 07481-2735
(201) 312-2235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01364600
NJ
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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