Individual
NICHOLE EMELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2060 MILLBURN AVE, MAPLEWOOD, NJ 07040-3713
(973) 280-0087
Mailing address
152 LESLIE ST, NEWARK, NJ 07112-1334
(973) 280-0087
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26NJ01089600
NJ
363LF0000X
Family Nurse Practitioner
26NJ01089600
NJ
Other
Enumeration date
02/10/2021
Last updated
02/21/2024
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