Mary Jacqueline Nicosia in Red Bank - Family

Mary Jacqueline Nicosia - NPI 1215081732

Mary Jacqueline Nicosia is a Family in Red Bank, New Jersey. Mary Jacqueline Nicosia practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Jacqueline Nicosia is 1215081732. The last update date is 2007-07-08.

Mary Jacqueline Nicosia's current location address is 126 Manor Dr, Red Bank, New Jersey. You can contact this provider via phone number 7326875321 and fax number 7322129030. The mailing address for Mary Jacqueline Nicosia is 126 Manor Dr, Red Bank, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Jacqueline Nicosia
Address 126 Manor Dr, Red Bank, New Jersey
Phone Number 7326875321
Fax Number 7322129030
Sole Proprietor N
Credentials R.N. APN-C

NPI Number Detail

NPI Number 1215081732
Provider Enumeration Date 2007-01-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 126 Manor Dr
City Red Bank
State New Jersey (NJ)
Post Code 77012461
Phone Number 7326875321
Fax Number 7322129030

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 26NO06130700
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Mary Jacqueline Nicosia

What is the unique 10-digit identification code issued to Mary Jacqueline Nicosia by the Centers for Medicare & Medicaid Services?

The Mary Jacqueline Nicosia has been assigned the NPI (National Provider Identifier) 1215081732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Mary Jacqueline Nicosia?

The Mary Jacqueline Nicosia is physically situated at 126 Manor Dr, in the city of Red Bank, state of NJ, with the postal code 77012461.

What is Mary Jacqueline Nicosia's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary Jacqueline Nicosia is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1215081732 to Mary Jacqueline Nicosia?

The Centers for Medicare & Medicaid Services originally issued the 1215081732 to Mary Jacqueline Nicosia on 2007-01-22.

When was the Mary Jacqueline Nicosia's information last updated?

The Mary Jacqueline Nicosia's information was last updated on 2007-07-08.

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