Active NPIIndividual providerSole proprietor

Ms. Camille L Dullaghan

Registered Nurse, Psych/Mental Health in Montclair, New Jersey

NPI Number1639393358
Practice location
125 Valley Road, Montclair, NJ 07042
Fax
—
Last updated
February 26, 2014

Camille Lucille Dullaghan is a Registered Nurse, Psych/Mental Health based in Montclair, NJ. Camille Lucille Dullaghan practices in Montclair, NJ. The NPI Number for Camille Lucille Dullaghan is 1639393358 and holds a License No. 26NO04249100 (NJ). The current practice location address for Camille Lucille Dullaghan is 125 Valley Road, Montclair, NJ 07042 and can be reached out via phone at 973-865-5245.

Provider Profile Details

NPI Number
1639393358
Provider Name
Camille Lucille Dullaghan
Provider Entity Type
Individual
Gender
Female
Address
125 Valley Road, Montclair, NJ 07042
Phone Number
973-865-5245
Primary Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X
Sole Proprietor
Yes
Other Names
Ms. Camille Lucille Dullaghan, APN (Professional Name)
Provider Enumeration Date
April 12, 2007
Last Update Date
February 26, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Valley Road
Montclair, NJ 07042
Zip
07042
Phone Number
973-865-5245
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
105 Tierney Drive
Cedar Grove, NJ 07009
City
Cedar Grove
State
NJ
Zip
07009
Phone Number
973-239-2359
Fax Number
973-482-2870

License Information

License Number (1)
26NO04249100
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
784068
License State (2)
CA
Taxonomy (2)
Registered Nurse, Psych/Mental Health · 163WP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Camille L Dullaghan?

The NPI number of Ms. Camille L Dullaghan is 1639393358. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Camille L Dullaghan?

Ms. Camille L Dullaghan is registered under the primary taxonomy Registered Nurse, Psych/Mental Health (code 163WP0808X), licensed in NJ under license number 26NO04249100.

Where does Ms. Camille L Dullaghan practice?

The practice location is 125 Valley Road, Montclair, NJ 07042. The office can be reached at 973-865-5245 (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 1639393358 directly on the NPPES registry website.

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