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Michelle Itidiare
Family Nurse Practitioner in West Orange, New Jersey
NPI 1194180349

Michelle Itidiare is a Family Nurse Practitioner based in West Orange, NJ and is specialized in Family. Michelle Itidiare practices in West Orange, NJ. The NPI Number for Michelle Itidiare is 1194180349 and holds a License No. 26NJ00625200 (New Jersey).

The current practice location address for Michelle Itidiare is 347 Mount Pleasant Ave, West Orange, NJ and can be reached out via phone at 908-420-1361.

Location: 347 Mount Pleasant Ave, West Orange, NJ, 07052-2744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194180349
Provider Name
Michelle Itidiare
Credential
Provider Entity Type
Individual
Gender
Female
Address
347 Mount Pleasant Ave, West Orange, NJ, 07052-2744
Phone Number
908-420-1361
Fax Number
Provider Enumeration Date
12/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
347 Mount Pleasant Ave
City
West Orange
State
New Jersey
Zip
07052-2744
Phone Number
908-420-1361
Fax Number
person
Provider Business Mailing Address Details
Address
347 Mount Pleasant Ave
City
West Orange
State
New Jersey
Zip
07052-2744
Phone Number
908-420-1361
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26NJ00625200 (New Jersey)
Definition
Definition to come...
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