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Donna Nickles
Specialist in Paramus, New Jersey
NPI 1063400547

Donna Nickles is a Specialist based in Paramus, NJ. Donna Nickles practices in Paramus, NJ. The NPI Number for Donna Nickles is 1063400547 and holds a License No. 25MB03792500 (New Jersey).

The current practice location address for Donna Nickles is 80 Eisenhower Dr, Paramus, NJ and can be reached out via phone at 201-843-2800 and via fax at 973-939-0273.

Location: 80 Eisenhower Dr, Paramus, NJ, 07652-1401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063400547
Provider Name
Donna Nickles
Credential
Provider Entity Type
Individual
Gender
Female
Address
80 Eisenhower Dr, Paramus, NJ, 07652-1401
Phone Number
201-843-2800
Fax Number
973-939-0273
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2807666 01 NJ AETNA HMO #
39F312 01 NJ EMPIRE BCBS #
160055692 01 NJ RAILROAD MCR #
1K4890 01 NJ HEALTHNET #
P2631203 01 NJ OXFORD #
0105583000 01 NJ AMERIHEALTH #
4252756 01 NJ AETNA PPO #
institution
Provider Business Practice Location Address Details
Address
80 Eisenhower Dr
City
Paramus
State
New Jersey
Zip
07652-1401
Phone Number
201-843-2800
Fax Number
973-939-0273
person
Provider Business Mailing Address Details
Address
80 Eisenhower Dr
City
Paramus
State
New Jersey
Zip
07652-1401
Phone Number
201-843-2800
Fax Number
973-939-0273
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MB03792500 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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