Individual provider · Type 1 NPI

Michelle Itidiare

Family Nurse Practitioner · West Orange, NJ

NPI number 1194180349 Active

Practice location

347 Mount Pleasant Ave, Suite 103
West Orange, NJ 07052-2744

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ00625200 (NJ)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1194180349

Michelle Itidiare's National Provider Identifier is 1194180349, issued on Dec 15, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Orange, NJ. The record was last updated on Nov 30, 2016.