Individual provider · Type 1 NPI

Corie Lake

Registered Nurse · Bayonne, NJ

NPI number 1063138964 Active

Practice location

601 Broadway
Bayonne, NJ 07002-3818

Fax (201) 339-7842

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X26NR14309300 (NJ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1063138964

Corie Lake's National Provider Identifier is 1063138964, issued on Oct 13, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bayonne, NJ. The record was last updated on Oct 13, 2022.