Individual
MRS. NWAKANMA VIVIAN NWADIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1501 HAMBURG TPKE, WAYNE, NJ 07470-4032
(908) 526-8370
Mailing address
1308 BRIGHT ST, HILLSIDE, NJ 07205-2374
(973) 978-2319
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01366300
NJ
Other
Enumeration date
01/25/2023
Last updated
02/06/2023
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