Individual provider · Type 1 NPI

Kristal M. Cannici, FNP-BC

Family Nurse Practitioner · Dover, NJ

NPI number 1174490122 Active

Practice location

375 E Mcfarlan St Ste 2
Dover, NJ 07801-3628

Call (973) 366-5859 Map

Fax (973) 366-0026

Mailing address

PO Box 95000, LB#7550
Philadelphia, PA 19195-7550

Other practice locations

  • 703 Main St, Paterson, NJ 07503-2621 · (973) 754-2000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ15396200 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1174490122

Kristal M. Cannici, FNP-BC's National Provider Identifier is 1174490122, issued on Oct 22, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dover, NJ. The record was last updated on May 5, 2026.