Individual
NICOLE E FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 CLARA MAASS DR, KIDDLE HALL SUITE 204, BELLEVILLE, NJ 07109-3550
(973) 450-2432
(973) 450-2434
Mailing address
PO BOX 708760, SANDY, UT 84070-8760
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00240100
NJ
Other
Enumeration date
07/27/2011
Last updated
07/19/2013
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