Individual provider · Type 1 NPI

Camille Lucille Dullaghan

Psychiatric/Mental Health Registered Nurse · Montclair, NJ

NPI number 1639393358 Active

Practice location

125 Valley Road
Montclair, NJ 07042

Mailing address

105 Tierney Drive
Cedar Grove, NJ 07009

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X26NO04249100 (NJ)
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X784068 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1639393358

Camille Lucille Dullaghan's National Provider Identifier is 1639393358, issued on Apr 12, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Montclair, NJ. The record was last updated on Feb 26, 2014.