Preethi Idiculla, NP
Nurse Practitioner, Family in Union, New Jersey
1164957494- Practice location
- 968 Wendy CT, Union, NJ 07083-5637
- Phone
- 917-858-0953
- Fax
- —
- Last updated
- September 3, 2024
Preethi Idiculla is a Nurse Practitioner, Family based in Union, NJ. Preethi Idiculla practices in Union, NJ and has the professional credentials of NP. The NPI Number for Preethi Idiculla is 1164957494 and holds a License No. 26NR1204800 (NJ). The current practice location address for Preethi Idiculla is 968 Wendy CT, Union, NJ 07083-5637 and can be reached out via phone at 917-858-0953.
Provider Profile Details
- NPI Number
- 1164957494
- Provider Name
- Preethi Idiculla
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 968 Wendy CT, Union, NJ 07083-5637
- Phone Number
- 917-858-0953
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 24, 2017
- Last Update Date
- September 3, 2024
- Certification Date
- September 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 968 Wendy CT
Union, NJ 07083-5637 - City
- Union
- State
- New Jersey
- Zip
- 07083-5637
- Phone Number
- 917-858-0953
Provider Business Mailing Address Details
- Address
- 968 Wendy CT
Union, NJ 07083-5637 - City
- Union
- State
- NJ
- Zip
- 07083-5637
- Phone Number
- 917-858-0953
License Information
- License Number (1)
- 26NR1204800
- License State (1)
- NJ
- Taxonomy (1)
- Registered Nurse, Registered Nurse First Assistant · 163WR0006X
- License Number (2)
- 26NJ01318900
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Union, NJ
View all Nurse Practitioner, Family providers in Union →- Aldrin GuerreroNurse Practitioner, Family · NPI 1003765827
- Austin Delgado, FNP-BCNurse Practitioner, Family · NPI 1518829977
- Bertha Ofori BrownNurse Practitioner, Family · NPI 1194632547
- Caroline T Kellett, NP-CNurse Practitioner, Family · NPI 1962239798
- Cathia DumayNurse Practitioner, Family · NPI 1174449029
- Damilola E FenwaNurse Practitioner, Family · NPI 1225962293
Frequently Asked Questions
What is the NPI number of Preethi Idiculla, NP?
The NPI number of Preethi Idiculla, NP is 1164957494. It was assigned on April 24, 2017 and is currently active in the NPPES registry.
What is the specialty of Preethi Idiculla, NP?
Preethi Idiculla, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR1204800.
Where does Preethi Idiculla, NP practice?
The practice location is 968 Wendy CT, Union, NJ 07083-5637. The office can be reached at 917-858-0953 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164957494 directly on the NPPES registry website.