Individual provider · Type 1 NPI
Camille Marie Licata, NP
Adult Health Nurse Practitioner · Verona, NJ
NPI number
1477980415
Active
Practice location
825 Bloomfield Ave, Ste LL-1
Verona, NJ 07044-1366
Fax (973) 233-4505
Mailing address
700 Rte 46 E, Ste 450
Fairfield, NJ 07004
Other practice locations
- 464 Valley Brook Ave Fl 3B, Lyndhurst, NJ 07071-1995 · (201) 667-2197
- 622 Valley Rd Ste 5I, Upper Montclair, NJ 07043-1470 · (201) 667-2197
- 200 Highland Ave, Ste 100B, Glen Ridge, NJ 07028-1521 · (973) 969-3800
- 271 Grove Ave, Ste A, Verona, NJ 07044-1731 · (973) 239-2600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00765000 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00765000 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
9 other providers at this address
- J&m Mariyampillai L L CInternal Medicine Physician Verona, NJ NPI 1891854030
- Lawrence M Davidson M.d. P.a.Ophthalmology Physician Verona, NJ NPI 1245536952
- Michael C Milano MD LLCGynecology Physician Verona, NJ NPI 1265603567
- Heather KingAdvanced Practice Midwife Verona, NJ NPI 1265748297
- Joan of Arc Mariyampillai, MDInternal Medicine Physician Verona, NJ NPI 1417916727
- Manish Vallabhdas Bhalodia, MDCardiovascular Disease Physician Verona, NJ NPI 1396760609
- Marcarious A. Mariyampillai, MDInternal Medicine Physician Verona, NJ NPI 1790770279
- Mary Lynn Herrmann, RNFASurgery Physician Verona, NJ NPI 1053958983
- Paul J. Loverme, MDSpecialist Verona, NJ NPI 1871584029
Other adult health nurse practitioner providers in Verona
About NPI 1477980415
Camille Marie Licata, NP's National Provider Identifier is 1477980415, issued on Oct 6, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Verona, NJ. The record was last updated on Jan 7, 2026.