person
Ms. Camille Marie Licata, NP
Adult Health Nurse Practitioner in Verona, New Jersey
NPI 1477980415

Camille Marie Licata is an Adult Health Nurse Practitioner based in Fairfield, NJ and is specialized in Adult Health. Camille Marie Licata practices in Verona, NJ and has the professional credentials of NP. The NPI Number for Camille Marie Licata is 1477980415 and holds a License No. 26NJ00765000 (New Jersey).

The current practice location address for Camille Marie Licata is 825 Bloomfield Ave, Verona, NJ and can be reached out via phone at 973-233-4493 and via fax at 973-233-4505.

Location: 825 Bloomfield Ave, Verona, NJ, 07004
person
Provider Profile Details
NPI Number
1477980415
Provider Name
Camille Marie Licata
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
825 Bloomfield Ave, Verona, NJ, 07004
Phone Number
973-233-4493
Fax Number
973-233-4505
Provider Enumeration Date
10/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
825 Bloomfield Ave
City
State
Zip
07044-1366
Phone Number
973-233-4493
Fax Number
973-233-4505
person
Provider Business Mailing Address Details
Address
825 Bloomfield Ave
City
State
Zip
07044-1366
Phone Number
973-233-4493
Fax Number
973-233-4505
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
26NJ00765000 (New Jersey)
Definition
Definition to come...
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