Individual provider · Type 1 NPI
Nicole Rengifo
Adult Health Nurse Practitioner · Teaneck, NJ
NPI number
1104366699
Active
Practice location
718 Teaneck Rd
Teaneck, NJ 07666-4245
Mailing address
227 E 3rd Ave
Roselle, NJ 07203-1333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00714000 (NJ) |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 26NJ00714000 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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Other adult health nurse practitioner providers in Teaneck
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About NPI 1104366699
Nicole Rengifo's National Provider Identifier is 1104366699, issued on Mar 2, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Teaneck, NJ. The record was last updated on Mar 2, 2017.