Individual provider · Type 1 NPI
Cristin Ashley Famularo, A.P.N
Psychiatric/Mental Health Nurse Practitioner · Bloomfield, NJ
NPI number
1164655486
Active
Practice location
17 Lackawanna Pl, 412
Bloomfield, NJ 07003-2955
Mailing address
465 Bloomfield Ave
Montclair, NJ 07042-3548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ00201200 (NJ) |
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00201200 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1164655486
Cristin Ashley Famularo, A.P.N's National Provider Identifier is 1164655486, issued on Sep 2, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bloomfield, NJ. The record was last updated on Mar 26, 2026.