MEDICARE: MS. ALICE CAMILLETTI RN

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
1	163W00000X	Registered Nurse	26NR21989200	NJ

General Provider Information

NPI Number	:	1609730605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICE CAMILLETTI RN

Provider Business Mailing Address
First Line	:	999 HIDDEN LAKE DR APT 13C
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	999 HIDDEN LAKE DR APT 13C
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1113
Country	:	US
Telephone Number	:	949-616-5066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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