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NPI Code Detail

MEDICARE: NICOLE WARES APN

MEDICARE:   NICOLE  WARES  APN
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
1363LA2100XAcute Care Nurse Practitioner26NJ00844000NJ

General Provider Information

NPI Number : 1588131551
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE WARES APN
Provider Business Mailing Address
First Line : 375 MOUNT PLEASANT AVE
Second Line :
City : WEST ORANGE
State : NJ
Zip : 07052-2750
Country : US
Telephone Number : 973-731-9442
Fax Number : 973-587-8153
Provider Business Practice Location Address
First Line : 5 FRANKLIN AVE STE 202
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-3521
Country : US
Telephone Number : 973-429-8333
Fax Number : 973-450-8157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2018
Last Update Date : 10/29/2018

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Directions to “ NICOLE WARES APN” Practice Location

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