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NPI Code Detail

MEDICARE: ANNA FEDERICO FNP

MEDICARE: ANNA FEDERICO FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NN07559800NJ

General Provider Information

NPI Number : 1821012055
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA FEDERICO FNP
Provider Business Mailing Address
First Line : 380 LAKESIDE RD
Second Line :
City : HEWITT
State : NJ
Zip : 07421-2905
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 156 NEWARK POMPTON TPKE
Second Line : MINUTECLINIC INSIDE CVS
City : PEQUANNOCK
State : NJ
Zip : 07440-1327
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/22/2014

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