Individual
MRS. GRETCHEN NICOLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1012 STATE ROUTE 36, ATLANTIC HIGHLANDS, NJ 07716-2469
(732) 291-3865
(732) 291-3859
Mailing address
1012 STATE ROUTE 36, ATLANTIC HIGHLANDS, NJ 07716-2469
(732) 291-3865
(732) 291-3859
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01376600
NJ
Other
Enumeration date
10/03/2022
Last updated
10/04/2022
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