Michelle Itidiare
Nurse Practitioner, Family in West Orange, New Jersey
1194180349- Practice location
- 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744
- Phone
- 908-420-1361
- Fax
- —
- Last updated
- November 30, 2016
Michelle Itidiare is a Nurse Practitioner, Family based in West Orange, NJ. Michelle Itidiare practices in West Orange, NJ. The NPI Number for Michelle Itidiare is 1194180349 and holds a License No. 26NJ00625200 (NJ). The current practice location address for Michelle Itidiare is 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744 and can be reached out via phone at 908-420-1361.
Provider Profile Details
- NPI Number
- 1194180349
- Provider Name
- Michelle Itidiare
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744
- Phone Number
- 908-420-1361
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 15, 2015
- Last Update Date
- November 30, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2744 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2744
- Phone Number
- 908-420-1361
Provider Business Mailing Address Details
- Address
- 347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2744 - City
- West Orange
- State
- NJ
- Zip
- 07052-2744
License Information
- License Number
- 26NJ00625200
- License State
- NJ
- Taxonomy
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Michelle Itidiare?
The NPI number of Michelle Itidiare is 1194180349. It was assigned on December 15, 2015 and is currently active in the NPPES registry.
What is the specialty of Michelle Itidiare?
Michelle Itidiare is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00625200.
Where does Michelle Itidiare practice?
The practice location is 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744. The office can be reached at 908-420-1361 (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 1194180349 directly on the NPPES registry website.