Individual provider · Type 1 NPI
Nicole Fabico Vales-Buckwald, CPNP
Pediatric Nurse Practitioner · West New York, NJ
NPI number
1801069521
Active
Practice location
5301 Broadway
West New York, NJ 07093-2622
Fax (201) 866-7588
Mailing address
12 Mattben Dr
Warren, NJ 07059-7142
Other practice locations
- 261 James St Ste 1G, Morristown, NJ 07960-6348 · (973) 540-9393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 26NN08808600 (NJ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1801069521
Nicole Fabico Vales-Buckwald, CPNP's National Provider Identifier is 1801069521, issued on Apr 3, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West New York, NJ. The record was last updated on Feb 4, 2019.