Individual provider · Type 1 NPI

Kim Dovalo

Family Nurse Practitioner · Newark, NJ

NPI number 1043626211 Active

Practice location

90 Bergen St Ste 8100
Newark, NJ 07103-2425

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ00484100 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1043626211

Kim Dovalo's National Provider Identifier is 1043626211, issued on Jul 8, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newark, NJ. The record was last updated on Apr 7, 2016.