Individual
ANDREA NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
181 LOZIER TER, RIVER EDGE, NJ 07661-1708
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ14912800
NJ
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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