Individual
NICOLE MICHEL SCILLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
22-18 BROADWAY, FAIR LAWN, NJ 07410-3016
(201) 475-5050
Mailing address
5 DALE AVE, POMPTON PLAINS, NJ 07444-1313
(973) 769-2997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NRC16187100
NJ
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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