Individual
MRS. LAURA B MACCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
20 PROSPECT AVE STE 602, HACKENSACK, NJ 07601-1962
(551) 996-2442
Mailing address
20 PROSPECT AVE STE 602, HACKENSACK, NJ 07601-1962
(551) 206-1338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00457400
NJ
Other
Enumeration date
08/27/2013
Last updated
03/13/2019
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