Individual provider · Type 1 NPI

Donna Nickles

Specialist · Paramus, NJ

NPI number 1063400547 Active

Practice location

80 Eisenhower Dr, Suite 200
Paramus, NJ 07652-1401

Call (201) 843-2800 Map

Fax (973) 939-0273

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MB03792500 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1063400547

Donna Nickles's National Provider Identifier is 1063400547, issued on Oct 10, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Paramus, NJ. The record was last updated on Apr 25, 2017.