Individual
NIEVES FENIX-MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1800
Mailing address
956 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3914
(201) 615-6731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017028101
NJ
Other
Enumeration date
05/17/2018
Last updated
09/05/2023
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